NICHOLAS HENRY DEVRIES

CHICAGO, IL
NPI1740510916
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: IL  12030909)
Enumeration Date2010-01-11
Last Update Date2010-01-11
Business Address
Mr. NICHOLAS HENRY DEVRIES
6339 N. GLENWOOOD AVENUE #3N
CHICAGO, IL 60660
Phone number: 773-260-2689
Mailing Address
Mr. NICHOLAS HENRY DEVRIES
6339 N GLENWOOD AVE #3N
CHICAGO, IL 60660-1303
Phone number: 773-260-2689