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1942472980
NICHOLAS LICUDINE
CHICAGO, IL
NPI
1942472980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.012923)
Enumeration Date
2008-03-31
Last Update Date
2018-08-20
Business Address
NICHOLAS LICUDINE PT
1841 S CALUMET AVENUE UNIT 1610
CHICAGO, IL 60616
Phone number: 312-613-5243
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Mailing Address
NICHOLAS LICUDINE PT
1841 S CALUMET AVENUE UNIT 1610
CHICAGO, IL 60616-4814
Phone number: 312-613-5243
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