NICHOLAS JORDAN ATHERTON

HIGHLAND PARK, IL
NPI1487477287
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160010266)
Enumeration Date2024-11-01
Last Update Date2024-11-01
Business Address
NICHOLAS JORDAN ATHERTON
478 CENTRAL AVE
HIGHLAND PARK, IL 60035-2651
Phone number: 847-748-9175
Mailing Address
NICHOLAS JORDAN ATHERTON
651 KENILWORTH CT
DES PLAINES, IL 60016-3143
Phone number: