Individual
NICOLETTE RENEE KOMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
2912 NORWAY PINE LN, NORTHBROOK, IL 60062-6425
(847) 275-4115
(847) 868-9222
Mailing address
2912 NORWAY PINE LN, NORTHBROOK, IL 60062-6425
(847) 275-4115
(847) 868-9222
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
NP51710898P
IL
Other
Enumeration date
05/16/2007
Last updated
11/16/2015
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