Individual provider · Type 1 NPI

Nichole Mirocha, DO

Family Medicine Physician · Springfield, IL

NPI number 1457573388 Active

Practice location

520 N 4th St
Springfield, IL 62702-5238

Fax (217) 747-1351

Mailing address

PO Box 19639
Springfield, IL 62794-9639

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1457573388

Nichole Mirocha, DO's National Provider Identifier is 1457573388, issued on May 2, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Springfield, IL. The record was last updated on Oct 16, 2007.