Individual
NICOLAS CALDERONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6560 W FULLERTON AVE # Y2, CHICAGO, IL 60707-3439
(773) 745-0338
Mailing address
6560 W FULLERTON AVE # Y2, CHICAGO, IL 60707-3439
(773) 745-0338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.010123
IL
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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