Individual
NICOLE MARIE OBROCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 S SEE GWUN AVE, MOUNT PROSPECT, IL 60056-3609
(708) 699-1760
Mailing address
713 S SEE GWUN AVE, MOUNT PROSPECT, IL 60056-3609
(708) 699-1760
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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