Individual
MRS. NICOLE ELLEN VAN VUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2942 N WOOD ST, UNIT A, CHICAGO, IL 60657-4096
(773) 529-2826
(773) 529-4846
Mailing address
2942 N WOOD ST, UNIT A, CHICAGO, IL 60657-4096
(773) 529-2826
(773) 529-4846
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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