Individual
DR. NICOLE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
360 E RANDOLPH ST APT 3902, CHICAGO, IL 60601-7340
(708) 951-9564
Mailing address
360 E RANDOLPH ST APT 3902, CHICAGO, IL 60601-7340
(708) 951-9564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009872
IL
Other
Enumeration date
10/16/2006
Last updated
07/06/2014
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