Nicolas Pedraza, PT | |
3266 Sycamore Rd, Dekalb, IL 60115-9621 | |
(815) 756-8524 | |
(815) 756-1841 |
Full Name | Nicolas Pedraza |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3266 Sycamore Rd, Dekalb, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346978244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-026846 (Illinois) | Primary |
Provider Name | Northern Rehabilitation & Sports Medicine Associates, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336151042 PECOS PAC ID: 6901887041 Enrollment ID: O20141015000118 |
Mailing Address | Practice Location Address |
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Nicolas Pedraza, PT 3266 Sycamore Rd, Dekalb, IL 60115-9621 Ph: () - | Nicolas Pedraza, PT 3266 Sycamore Rd, Dekalb, IL 60115-9621 Ph: (815) 756-8524 |
Premier Pediatric Therapy Associates Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3115 Wolf Ct, Dekalb, IL 60115 Phone: 815-501-5217 | |
Maria Mildred Castillo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3100 Sycamore Rd, Dekalb, IL 60115 Phone: 815-752-2675 Fax: 815-752-3299 | |
Mr. Rob R Larkins, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3266 Sycamore Rd, Dekalb, IL 60115 Phone: 815-756-8524 Fax: 815-756-1841 | |
Jamie L Justice, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 E Hillcrest Dr Ste 110, Dekalb, IL 60115 Phone: 815-758-5508 Fax: 815-758-5537 | |
Christina Zeiss, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 Sycamore Rd, Dekalb, IL 60115 Phone: 815-753-1812 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2337 Sycamore Rd, Dekalb, IL 60115 Phone: 815-748-1555 Fax: 815-748-1101 | |
Mrs. Maria Gavin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 573 Bush St, Dekalb, IL 60115 Phone: 815-754-9417 |