| Nicholas Fraser, DPT | |
|
964 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 | |
| (847) 290-1111 | |
| (847) 290-1065 |
| Full Name | Nicholas Fraser |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 964 Elk Grove Town Ctr, Elk Grove Village, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508502097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Secondary |
| 225100000X | Physical Therapist | 070-026929 (Illinois) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Fraser, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6250 | Nicholas Fraser, DPT 964 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 Ph: (847) 290-1111 |
Kimberly Pittenger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 Meacham Rd, Elk Grove Village, IL 60007 Phone: 847-923-6858 Fax: 847-923-6859 | |
Benjamin H Kim Pt Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 447 New York Ln, Elk Grove Village, IL 60007 Phone: 847-722-4910 | |
Mr. Romeo Ocana Ceniza Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 847-285-4210 Fax: 847-437-1287 | |
Stuart Cox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Meacham Rd, Elk Grove Village, IL 60007 Phone: 847-923-6858 Fax: 847-923-6859 | |
Lauren E Gaeger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 990 Elk Grove Town Ctr, Elk Grove Village, IL 60007 Phone: 847-290-1111 Fax: 847-290-1065 | |
Athletico Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 990 Elk Grove Town Ctr, Elk Grove Village, IL 60007 Phone: 847-290-1111 Fax: 847-290-1065 | |
Ati Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 Meacham Rd, Elk Grove Village, IL 60007 Phone: 847-923-6858 Fax: 847-923-6859 |