Individual
DAVID NICOLOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 W CUSTER AVE, PONTIAC, IL 61764-1067
(815) 844-6109
(815) 844-3561
Mailing address
920 W CUSTER AVE, PONTIAC, IL 61764-1067
(815) 844-6109
(815) 844-3561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IL
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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