Nicole Decker OD

NPI 1073693107 - Optometrist - 152W00000X

NPI Details
NPI 1073693107
Gender Female
Enumeration Date 10/16/2006
Last Updated 07/06/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
360 E RANDOLPH ST APT 3902
CHICAGO IL, 60601-7340, US
Phone (708) 951-9564
Fax
Business Location
360 E RANDOLPH ST APT 3902
CHICAGO IL, 60601-7340, US
Phone (708) 951-9564
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046009872
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According to our database, Dr. Nicole Decker OD NPI is 1073693107, taxonomy code is 152W00000X and license number is 046009872, license state is located at Illinois. Nicole Decker OD physically located at 360 E Randolph St Apt 3902, Chicago IL, 60601-7340. NPI Number Nicole Decker OD has the Individual type.

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1073693107 NPI number is provided on an as is basis without warranty of any kind. 1073693107 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Decker OD are for informational purposes only.