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Individual

NICHOLAS DONALD CHARMELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-2881
(773) 282-7000
Mailing address
1842 BALTIMORE DR, ELK GROVE VILLAGE, IL 60007-2736
(847) 208-0695

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
041-240278
IL

Other

Enumeration date
04/09/2020
Last updated
04/09/2020
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