Individual
NICOLE FICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6959 W 64TH ST, CHICAGO, IL 60638-4609
(708) 257-4696
Mailing address
7722 MERRIMAC AVE, BURBANK, IL 60459-1105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011433
IL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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