Individual
DAVID CHILICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 W MAPLE AVE APT 1D, LIBERTYVILLE, IL 60048-2166
(224) 715-0376
Mailing address
206 W MAPLE AVE APT 1D, LIBERTYVILLE, IL 60048-2166
(224) 715-0376
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209022552
IL
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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