Individual
MR. ADAM J. NIKKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
2225 LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(847) 234-0688
Mailing address
2413 GOLDENROD WAY, WAUCONDA, IL 60084-5087
(515) 314-3824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010094
IL
225XP0200X
Pediatric Occupational Therapist
056010094
IL
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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