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Nicasa
Voluntary or Charitable Agency in Round Lake, Illinois
NPI 1912950460

Nicasa is a Voluntary or Charitable Agency based in Round Lake, IL. Nicasa practices in Round Lake, IL. The NPI Number for Nicasa is 1912950460 and holds a License No. A-0614-0004-A (Illinois).

The current practice location address for Nicasa is 31979 N Fish Lake Rd, Round Lake, IL and can be reached out via phone at 847-546-6450 and via fax at 847-546-6760.

Location: 31979 N Fish Lake Rd, Round Lake, IL, 60073-9517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912950460
Provider Name
Nicasa
Credential
Provider Entity Type
Organization
Address
31979 N Fish Lake Rd, Round Lake, IL, 60073-9517
Phone Number
847-546-6450
Fax Number
847-546-6760
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
31979 N Fish Lake Rd
City
Round Lake
State
Illinois
Zip
60073-9517
Phone Number
847-546-6450
Fax Number
847-546-6760
person
Provider Business Mailing Address Details
Address
31979 N Fish Lake Rd
City
Round Lake
State
Illinois
Zip
60073-9517
Phone Number
847-546-6450
Fax Number
847-546-6760
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
A-0614-0004-A (Illinois)
Definition
Definition to come...
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