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Individual

DR. JOSEPH L NICOLOSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
207 E OHIO ST, CHICAGO, IL 60611-4092
(312) 907-4400
Mailing address
311 INDIANA ST, MT PLEASANT, WI 53405-1965
(312) 907-4400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021782
IL

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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