Mara Nicandro, NMT, LMT

NPI #1114327889 in Chicago, Illinois

Provider Information

NPI Number: 1114327889
Entity Type: Individual
Name: Mara Nicandro, NMT, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: NMT, LMT
Enumeration Date: Aug 29, 2014
Last Updated: Aug 29, 2014

Practice Location

Address: 2225 W NORTH AVE
Address 2: ELEMENTAL HEALTH
City: Chicago
State: Illinois
ZIP Code: 60647-5429
Phone: (312) 451-5771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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