Individual
DR. CATHLEEN ANN NICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2334 W LAWRENCE AVE STE 201, CHICAGO, IL 60625-1046
(773) 458-4078
Mailing address
6336 N KNOX AVE, CHICAGO, IL 60646-4412
(773) 458-4078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
N387207
MI
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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