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NICHOLAS COUNTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4309 W MEDICAL CENTER DR STE B201, MCHENRY, IL 60050-8417
(847) 535-7271
(847) 802-7399
Mailing address
4309 W MEDICAL CENTER DR STE B201, MCHENRY, IL 60050-8417
(847) 535-7271
(847) 802-7399

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009938
IL
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
05/04/2023
Last updated
11/06/2023
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