Jack Nikoleit D.O.

NPI 1659549921 - Optometrist - 152WX0102X

NPI Details
NPI 1659549921
Gender Male
Enumeration Date 02/20/2008
Last Updated 02/20/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
3455 DEMPSTER ST
SKOKIE IL, 60076-2455, US
Phone (847) 763-0600
Fax (847) 763-0660
Business Location
3455 DEMPSTER ST
SKOKIE IL, 60076-2455, US
Phone (847) 763-0600
Fax (847) 763-0660
Toxanomy
Taxonomy Code 152WX0102X
License State Illinois
License Number 465194
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According to our database, Dr. Jack Nikoleit D.O. NPI is 1659549921, taxonomy code is 152WX0102X and license number is 465194, license state is located at Illinois. Jack Nikoleit D.O. physically located at 3455 Dempster St, Skokie IL, 60076-2455. NPI Number Jack Nikoleit D.O. has the Individual type.

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1659549921 NPI number is provided on an as is basis without warranty of any kind. 1659549921 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Nikoleit D.O. are for informational purposes only.