Individual
NICHOLAS G BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
700 W FABYAN PKWY, BATAVIA, IL 60510-1269
(630) 802-3599
Mailing address
1290 MCDOLE DR, SUGAR GROVE, IL 60554-9829
(630) 802-3599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006593
IL
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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