Individual
DR. MICHAEL JOSEPH NICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2334 W. LAWRENCE AVE, SUITE 201, CHICAGO, IL 60625-1046
(773) 561-3340
(773) 561-6290
Mailing address
2334 W. LAWRENCE AVE, SUITE 201, CHICAGO, IL 60625-1046
(773) 561-3340
(773) 561-6290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-019271
IL
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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