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Individual
NICHOLAS JAGUSH
Active
Individual
NICHOLAS JAGUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
085961
IA
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070022544
LICENSE
IL
01
—
085961
LICENSE
IA
Enumeration date
05/25/2016
Last updated
03/17/2026
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