Individual
NICOLE MICHEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 BUCCANEER DR, GLENVIEW, IL 60026-7044
(847) 917-0758
Mailing address
901 BUCCANEER DR, GLENVIEW, IL 60026-7044
(847) 917-0758
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
164.007837
IL
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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