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1588410534
NICHOLAS WALENGA
CHICAGO, IL
NPI
1588410534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
NICHOLAS WALENGA
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number: 312-942-5000
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Mailing Address
NICHOLAS WALENGA
36 S ASHLAND AVE APT 203
CHICAGO, IL 60607-1827
Phone number: 217-622-8477
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