NICHOLAS BASS

CHICAGO, IL
NPI1700200862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  0702013463198)
Enumeration Date2014-02-10
Last Update Date2014-02-10
Business Address
-- NICHOLAS BASS DPT
3145 S. ASHLAND AVE
CHICAGO, IL 60608
Phone number: 773-254-5516
Mailing Address
-- NICHOLAS BASS DPT
3145 S. ASHLAND AVE
CHICAGO, IL 60608
Phone number: 773-254-5516