NICHOLAS JOSEPH COMARDELLE

PEORIA, IL
NPI1841993318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-23
Last Update Date2023-06-27
Business Address
NICHOLAS JOSEPH COMARDELLE MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 504-858-1710
Mailing Address
NICHOLAS JOSEPH COMARDELLE MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2642