Individual
NICOLE GRACE DELEONARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 E MAIN ST STE B, SAINT CHARLES, IL 60174-2488
(630) 584-7530
Mailing address
2441 S 10TH AVE, NORTH RIVERSIDE, IL 60546-1120
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012720
IL
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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