Individual
MICHAEL J. NICKEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1650 45TH AVE, SUITE 2D, MUNSTER, IN 46321-3962
(219) 836-4921
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009295A
IN
Other
Enumeration date
08/21/2006
Last updated
01/28/2013
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