Individual
ASHLEY NUDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 N LASALLE, 1614, CHICAGO, IL 60610-1955
(847) 772-0216
Mailing address
1250 N LASALLE, #1614, CHICAGO, IL 60610-1949
(847) 772-0216
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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