| Nicole Etling, MS, CCC/SLP | |
|
25 E Washington St Ste 1310, Chicago, IL 60602-1863 | |
| (773) 665-9950 | |
| Not Available |
| Full Name | Nicole Etling |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 25 E Washington St Ste 1310, 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 |
|---|---|---|---|
| 1336857523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146.009752 (Illinois) | Primary |
| Provider Name | Physical Therapy Renaissance, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790886307 PECOS PAC ID: 9032127980 Enrollment ID: O20060404000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Etling, MS, CCC/SLP 5050 N Broadway St Unit 1102, Chicago, IL 60640-4383 Ph: (618) 977-8604 | Nicole Etling, MS, CCC/SLP 25 E Washington St Ste 1310, Chicago, IL 60602-1863 Ph: (773) 665-9950 |
Mary Fleming, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3722 N Paris Ave, Chicago, IL 60634 Phone: 773-625-6760 | |
Ms. Gwendolyn Sue Julian, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1652 N Lockwood Ave, Chicago, IL 60639 Phone: 773-836-2393 Fax: 773-836-0110 | |
Mrs. Nikki Miner, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1206 W Henderson St # 2s, Chicago, IL 60657 Phone: 847-708-1116 | |
Premier Speech Therapy, Ltd Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3711 N Richmond St, Chicago, IL 60618 Phone: 312-339-7673 Fax: 484-210-2342 | |
Aw Therapy Services, Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4717 W Patterson Ave, Chicago, IL 60641 Phone: 773-330-6220 Fax: 773-439-2374 | |
Mrs. Adrienne Loury, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7505 S Aberdeen St, Chicago, IL 60620 Phone: 773-308-4242 Fax: 773-488-3903 | |
Elissa Margaret Larkin, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 |