NICHOLAS FORMICA

OAK LAWN, IL
NPI1679388060
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: IL  160010305)
Enumeration Date2025-02-11
Last Update Date2025-02-11
Business Address
NICHOLAS FORMICA PTA
4061 W 95TH ST
OAK LAWN, IL 60453-2611
Phone number: 630-469-9200
Mailing Address
NICHOLAS FORMICA PTA
8825 S KOLMAR AVE
HOMETOWN, IL 60456-1027
Phone number:
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