Individual provider · Type 1 NPI

Nichell Tidwell, MD

Pediatric Emergency Medicine (Emergency Medicine) Physician · Chicago, IL

NPI number 1740200765 Active

Practice location

225 E Chicago Ave
Chicago, IL 60611-2991

Mailing address

225 E Chicago Ave # 152
Chicago, IL 60611-2991

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X036086376 (IL)
Pediatric Emergency Medicine (Emergency Medicine) Physician Primary 207PP0204X036086376 (IL)

Pediatric Emergency Medicine (Emergency Medicine) Physician: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

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About NPI 1740200765

Nichell Tidwell, MD's National Provider Identifier is 1740200765, issued on Jul 20, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X), and the practice location is in Chicago, IL. The record was last updated on Apr 29, 2020.