Individual
DR. NICHOLAS MANUEL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1400 W 47TH ST, CHICAGO, IL 60609-3232
(773) 579-1588
Mailing address
2457 W LOGAN BLVD UNIT 2, CHICAGO, IL 60647-1973
(812) 223-6119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011666
IL
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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