| Dr Nicole Desiree Beavers, DC | |
|
1255 S State St Unit 6, Chicago, IL 60605 | |
| (312) 880-0808 | |
| (312) 880-0810 |
| Full Name | Dr Nicole Desiree Beavers |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1255 S State St Unit 6, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942587456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.012045 (Illinois) | Secondary |
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Premier Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336127117 PECOS PAC ID: 0446214845 Enrollment ID: O20041116000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole Desiree Beavers, DC 570 Village Center Dr Ste 205, Burr Ridge, IL 60527-4526 Ph: (630) 920-4670 | Dr Nicole Desiree Beavers, DC 1255 S State St Unit 6, Chicago, IL 60605 Ph: (312) 880-0808 |
Physical Therapy Clinic Of Chicago, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6135 W Belmont Ave, Chicago, IL 60634 Phone: 773-237-7827 Fax: 773-237-7826 | |
Ms. Carok Ann Gleason, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Nicholas E Crosby, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 W Chestnut St, Apartment 1604, Chicago, IL 60610 Phone: 773-961-5322 | |
Molly Swenson Murgatroyd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 S Promontory Dr, Chicago, IL 60649 Phone: 773-256-5776 | |
Melissa Strzelinski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Dr. Devon Beer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5645 W Addison St, Chicago, IL 60634 Phone: 773-794-7690 | |
Melfa Laroza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 W Division St, Physical Therapy Department, Chicago, IL 60622 Phone: 312-770-2000 Fax: 312-770-3477 |