Nickoli, Debra Renae

Nickoli, Debra Renae is an sole proprietor health care provider with primary practice located at 401 E Ontario St Apt 4003 , Chicago IL 60611-4443. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Nickoli, Debra Renae can be contacted via phone (614) 668-6237.

Contact Information

Primary practice address
401 E Ontario St Apt 4003 Chicago IL 60611-4443
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 070018390 Illinois

Profile Details

NPI number 1184989964
LBN Legal business name Nickoli, Debra Renae
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2012
Last updated Jul 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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