NICOLE MEDINA

CHICAGO, IL
NPI1578349130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.015619)
Enumeration Date2023-09-07
Last Update Date2023-09-07
Business Address
NICOLE MEDINA
3319 N ELSTON AVE
CHICAGO, IL 60618-5811
Phone number: 312-733-6061
Mailing Address
NICOLE MEDINA
3319 N ELSTON AVE
CHICAGO, IL 60618-5811
Phone number: 312-753-0883