Nicasa
NPI #1912950460 in Round Lake, Illinois
Provider Information
- NPI Number
- 1912950460
- Entity Type
- Organization
- Organization Name
- Nicasa
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- May 18, 2006
- Last Updated
- Aug 13, 2019
Practice Location
- Address
- 31979 N FISH LAKE RD
- City
- Round Lake
- State
- Illinois
- ZIP Code
- 60073-9517
- Phone
- (847) 546-6450
Authorized Official
- Name
- LINDA SNELTEN
- Title
- DIR OF ADMINISTRATION
- Phone
- (847) 546-6450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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