Nicole F Wodka, DPT | |
1962 N Bissell St Unit 1, Chicago, IL 60614-5015 | |
(312) 598-9991 | |
Not Available |
Full Name | Nicole F Wodka |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 1962 N Bissell St Unit 1, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649749664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070022654 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emerge Physical Therapy And Wellness Pllc | 4587093646 | 5 |
Provider Name | Revolution Ptwl Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164766606 PECOS PAC ID: 7719115617 Enrollment ID: O20140123001222 |
Provider Name | Emerge Physical Therapy & Wellness Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679105142 PECOS PAC ID: 4587093646 Enrollment ID: O20200411000182 |
Mailing Address | Practice Location Address |
---|---|
Nicole F Wodka, DPT 1962 N Bissell St Unit 1, Chicago, IL 60614-5015 Ph: () - | Nicole F Wodka, DPT 1962 N Bissell St Unit 1, Chicago, IL 60614-5015 Ph: (312) 598-9991 |
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