Matthew Clark Nicholson is a Optometrist based in Bourbonnais, IL. Matthew Clark Nicholson practices in Bourbonnais, IL and has the professional credentials of OD. The NPI Number for Matthew Clark Nicholson is 1992713309 and holds a License No. 046008729 (Illinois).
The current practice location address for Matthew Clark Nicholson is 352 Brown Blvd, Bourbonnais, IL and can be reached out via phone at 815-932-2020 and via fax at 815-937-0060.
Identifier | Type | State | Issuer |
---|---|---|---|
046008729 | 05 | IL | |
346001680 | 01 | IL | CONTROLLED SUBSTANCE |
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