Individual
MISS NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5215 N RAVENSWOOD AVE, SUITE 105, CHICAGO, IL 60640-1668
(773) 878-7330
Mailing address
2137 W CORNELIA AVE APT 2W, CHICAGO, IL 60618-6130
(773) 557-2363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.009190
IL
Other
Enumeration date
07/19/2014
Last updated
07/19/2014
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