Individual
NICHOLAS KELLERHALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 MEACHAM RD, ELK GROVE VILLAGE, IL 60007-3672
(847) 923-6858
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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