Individual
NICOLE OTOOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
4740 N LAPORTE AVE, CHICAGO, IL 60630-3801
(773) 426-9270
Mailing address
4740 N LAPORTE AVE, CHICAGO, IL 60630-3801
(773) 426-9270
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056-006810
IL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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