MARY NISSEN

MUNDELEIN, IL
NPI1548599707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: IL  056-007166)
Enumeration Date2009-12-17
Last Update Date2009-12-17
Business Address
-- MARY NISSEN OTR/L
328 N SHADDLE AVE
MUNDELEIN, IL 60060-2411
Phone number: 847-566-9860
Mailing Address
-- MARY NISSEN OTR/L
1932 W CRYSTAL ST UNIT 2
CHICAGO, IL 60622-3132
Phone number: 847-784-9115
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