Individual
DR. NICOLE NOLA ROUSONELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAC
Contact information
Practice address
1339 W DEVON AVE, CHICAGO, IL 60660-1329
(773) 293-7642
Mailing address
4535 N PAULINA ST APT 2D, CHICAGO, IL 60640-5326
(815) 955-3591
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001651
IL
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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