Individual
NICHOLAS JORDAN ATHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
478 CENTRAL AVE, HIGHLAND PARK, IL 60035-2651
(847) 748-9175
(773) 345-5616
Mailing address
651 KENILWORTH CT, DES PLAINES, IL 60016-3143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160010266
IL
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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