Individual
NIKOLAS M BERTUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24735 W EAMES ST UNIT 11, CHANNAHON, IL 60410-8712
(815) 290-5260
Mailing address
24735 W EAMES ST UNIT 11, CHANNAHON, IL 60410-8712
(815) 290-5260
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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