Individual
NICHOLAS CAPORALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 N ADELAIDE ST, NORMAL, IL 61761-2404
(262) 893-0243
Mailing address
819 PHAETON PL, NORMAL, IL 61761-4837
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004225
IL
Other
Enumeration date
02/03/2018
Last updated
02/03/2018
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