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Individual

NICHOLAS BEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1837 HOMER M ADAMS PKWY STE M, ALTON, IL 62002-5665
(618) 208-3310
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016499
IL

Other

Enumeration date
01/24/2025
Last updated
03/24/2025
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