Individual
MS. JULIE T NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2325 W HURON ST # 2, CHICAGO, IL 60612-1205
(773) 562-8345
Mailing address
2325 W HURON ST # 2, CHICAGO, CHICAGO, IL 60612-1205
(773) 562-8345
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.006142
IL
Other
Enumeration date
11/29/2006
Last updated
05/09/2011
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