Nikolas M Bertucci

NPI #1285345462 in Channahon, Illinois

Provider Information

NPI Number: 1285345462
Entity Type: Individual
Name: Nikolas M Bertucci
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Dec 8, 2022
Last Updated: Dec 8, 2022

Practice Location

Address: 24735 W EAMES ST UNIT 11
City: Channahon
State: Illinois
ZIP Code: 60410-8712
Phone: (815) 290-5260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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