Individual
NICHOLAS ANTHONY KETTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
1217 CAMBRIDGE CT, SHOREWOOD, IL 60404-0539
(815) 566-1353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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