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1700200862
NICHOLAS BASS
CHICAGO, IL
NPI
1700200862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 0702013463198)
Enumeration Date
2014-02-10
Last Update Date
2014-02-10
Business Address
-- NICHOLAS BASS DPT
3145 S. ASHLAND AVE
CHICAGO, IL 60608
Phone number: 773-254-5516
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Mailing Address
-- NICHOLAS BASS DPT
3145 S. ASHLAND AVE
CHICAGO, IL 60608
Phone number: 773-254-5516
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