Hannah Nikolich, DPT | |
1010 Lake St Ste 400, Oak Park, IL 60301-1135 | |
(312) 801-0318 | |
Not Available |
Full Name | Hannah Nikolich |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1010 Lake St Ste 400, Oak Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154991883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.024406 (Illinois) | Primary |
Provider Name | Fuller Health Group Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689806358 PECOS PAC ID: 8628484813 Enrollment ID: O20210315000030 |
Provider Name | Bhealth Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285217034 PECOS PAC ID: 2062879844 Enrollment ID: O20230609001702 |
Mailing Address | Practice Location Address |
---|---|
Hannah Nikolich, DPT 1010 Lake St Ste 400, Oak Park, IL 60301-1135 Ph: (312) 801-0318 | Hannah Nikolich, DPT 1010 Lake St Ste 400, Oak Park, IL 60301-1135 Ph: (312) 801-0318 |
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