Individual
MR. NICHOLAS HENRY DEVRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6339 N. GLENWOOOD AVENUE, #3N, CHICAGO, IL 60660
(773) 260-2689
Mailing address
6339 N GLENWOOD AVE, #3N, CHICAGO, IL 60660-1303
(773) 260-2689
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
12030909
IL
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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