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Individual

NICOLE E HLAVATY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
1926 W BELMONT AVE, UNIT 3, CHICAGO, IL 60657-2025
(131) 259-0195

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.077999
IL

Other

Enumeration date
09/08/2008
Last updated
09/08/2008
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