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Individual

NICOLE C CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4709 GOLF RD, SKOKIE, IL 60076-1231
(877) 377-1188
Mailing address
3029 N NEENAH AVE, CHICAGO, IL 60634-4963

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
Primary
160.009707
IL

Other

Enumeration date
12/16/2022
Last updated
04/03/2023
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