Individual
NICHOLAS WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 WATERS EDGE STE 100, LOMBARD, IL 60148-7002
(331) 425-8525
Mailing address
859 BRIGANTINE DR, NEW LENOX, IL 60451-9221
(815) 412-5887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150108660
IL
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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