Organization
DBA- NICOLETTE KOMIE AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI KOMIE M.D. (DEVELOPMENTAL THERAPIST)
(847) 275-4115
Entity
Organization
Contact information
Practice address
2912 NORWAY PINE LN, NORTHBROOK, IL 60062-6425
(847) 275-4115
Mailing address
2912 NORWAY PINE LANE, NORTHBROOK, IL 60062-0002
(847) 275-4115
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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