Individual
DANA MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 W MELROSE ST, CHICAGO, IL 60657-2033
(312) 600-7230
Mailing address
2706 W ARMITAGE AVE, CHICAGO, IL 60647-9506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013373
IL
Other
Enumeration date
02/27/2017
Last updated
02/28/2017
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