Individual
NICOLE GRACE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 YORK RD, OAK BROOK, IL 60523-1992
(580) 470-8740
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
(877) 632-6637
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016697
IL
Other
Enumeration date
05/13/2025
Last updated
08/13/2025
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