| Kristine Niestrom, PT | |
|
7191 S Kingery Hwy, Ste L6, Willowbrook, IL 60527-5525 | |
| (630) 455-6630 | |
| (630) 455-6631 |
| Full Name | Kristine Niestrom |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 7191 S Kingery Hwy, Willowbrook, 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 |
|---|---|---|---|
| 1497122212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070021763 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nissenbaum And Schleusner Pro Physical Therapy Llc | 2668753070 | 11 |
| Provider Name | Nissenbaum And Schleusner Pro Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821542853 PECOS PAC ID: 2668753070 Enrollment ID: O20161223000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Niestrom, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Kristine Niestrom, PT 7191 S Kingery Hwy, Ste L6, Willowbrook, IL 60527-5525 Ph: (630) 455-6630 |
Janice M Smith-white, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 66 W 63rd St, Willowbrook, IL 60527 Phone: 630-439-4661 Fax: 630-596-2455 | |
Integrated Rehabilitation Approach Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 Ridgemoor Dr, Willowbrook, IL 60527 Phone: 312-315-6789 | |
Mr. Hany Eskander, DPT, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6528 Cambridge Road, Willowbrook, IL 60527 Phone: 630-323-3226 | |
Andrew Mack, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 75th St, Willowbrook, IL 60527 Phone: 630-384-0600 | |
Mr. Scott M Wirth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 635 Executive Dr, Willowbrook, IL 60527 Phone: 630-455-6630 Fax: 630-455-6631 | |
Jil-lyn M Tedford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6705 Kingery Hwy, Willowbrook, IL 60527 Phone: 630-388-6700 | |
Chad R Osborne, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7191 S Kingery Hwy, Suite L6, Willowbrook, IL 60527 Phone: 630-455-6630 |