Individual
ANTHONY RICHARD NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4437 N LOWELL AVE UNIT 2, CHICAGO, IL 60630-4103
(773) 370-0135
Mailing address
4437 N LOWELL AVE UNIT 2, CHICAGO, IL 60630-4103
(773) 370-0135
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.015799
IL
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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