Individual
NICOLE M BARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
545 BELMONT LN, CAROL STREAM, IL 60188-2467
(630) 523-8972
Mailing address
7547 BRISTOL LN UNIT 3, HANOVER PARK, IL 60133-7231
(847) 271-2825
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009245
IL
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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