| Nicole Kostecki, OTR/L | |
|
852 S Washington St, Elmhurst, IL 60126-4841 | |
| (630) 664-2534 | |
| Not Available |
| Full Name | Nicole Kostecki |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 852 S Washington St, Elmhurst, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083966881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.009806 (Illinois) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275259798 PECOS PAC ID: 5193036432 Enrollment ID: O20221130001868 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Kostecki, OTR/L 410 E Huntington Ln, Elmhurst, IL 60126-3650 Ph: (630) 664-2534 | Nicole Kostecki, OTR/L 852 S Washington St, Elmhurst, IL 60126-4841 Ph: (630) 664-2534 |
Terri Ellen Calhoun, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 | |
Alison Froebel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 W Butterfield Rd, Elmhurst, IL 60126 Phone: 630-832-2300 | |
Heather Lynn Hoffmann, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Elm Creek Dr Apt 416, Elmhurst, IL 60126 Phone: 847-337-5753 | |
Tess O'brien, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 S Washington St, Elmhurst, IL 60126 Phone: 630-987-9832 | |
Crystle Kate Pinuela Grinen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 W Saint Charles Rd, Elmhurst, IL 60126 Phone: 331-263-8083 | |
Debra Morey, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 408 N River Glen Ave, Elmhurst, IL 60126 Phone: 630-359-3136 |