Individual
NICOLE H MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12261 W 159TH ST, HOMER GLEN, IL 60491-7847
(708) 301-2255
(708) 301-2631
Mailing address
12261 W 159TH ST, HOMER GLEN, IL 60491-7847
(708) 301-2255
(708) 301-2631
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070024490
IL
Other
Enumeration date
08/19/2019
Last updated
04/12/2023
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