Individual
MR. NICOLAS JOSE COVELLI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3062 E 91ST ST, CHICAGO, IL 60617-4401
(773) 371-2921
(773) 374-5399
Mailing address
3062 E 91ST ST, CHICAGO, IL 60617-4401
(773) 371-2921
(773) 374-5399
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.013082
IL
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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