Most Relevant Information
Provider Data
| NPI Number: | 1003537986 |
| Provider Name: | NICOLE KLEES |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/08/2022 |
| Last Updated: | 09/08/2022 |
Provider Practice Location
2409 N CLYBOURN AVE
CHICAGO
IL
606146185
Practice Location Phone/Fax
| Phone: | 7734336210 |
| Fax: | 8667440950 |
Provider Mailing Location
7101 N CICERO AVE STE 202
LINCOLNWOOD
IL
607122143
Provider Mailing Phone/Fax
| Phone: | 7734336210 |
| Fax: | 8667440950 |