Individual
GEORGIA NICOLAIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 SCOTT DR, BLOOMINGDALE, IL 60108-3112
(630) 681-6300
Mailing address
455 SCOTT DR, BLOOMINGDALE, IL 60108-3112
(630) 681-6300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013997
IL
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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