Individual
NICOLE TAKSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22103 W PASADENA DR, PLAINFIELD, IL 60544-7093
(708) 475-1645
Mailing address
22103 W PASADENA DR, PLAINFIELD, IL 60544-7093
(708) 475-1645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.399315
IL
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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