Individual
NICOLE MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
233 WAUKEGAN RD, LAKE BLUFF, IL 60044-1666
(847) 735-8104
Mailing address
8928 ODELL AVE, MORTON GROVE, IL 60053-1952
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009474
IL
Other
Enumeration date
11/17/2021
Last updated
03/15/2023
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