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1740510916
NICHOLAS HENRY DEVRIES
CHICAGO, IL
NPI
1740510916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: IL 12030909)
Enumeration Date
2010-01-11
Last Update Date
2010-01-11
Business Address
Mr. NICHOLAS HENRY DEVRIES
6339 N. GLENWOOOD AVENUE #3N
CHICAGO, IL 60660
Phone number: 773-260-2689
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Mailing Address
Mr. NICHOLAS HENRY DEVRIES
6339 N GLENWOOD AVE #3N
CHICAGO, IL 60660-1303
Phone number: 773-260-2689
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