Individual
NICHOLAS PETER FOTIEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
19 S LA SALLE ST, SUITE #503, CHICAGO, IL 60603-1401
(312) 236-9355
(312) 236-9301
Mailing address
19 S LA SALLE ST, SUITE #503, CHICAGO, IL 60603-1401
(312) 236-9355
(312) 236-9301
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038012805
IL
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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