| Logan N Nierzwicki, PT | |
|
7341 A Lake St, River Forest, IL 60305 | |
| (708) 763-0564 | |
| Not Available |
| Full Name | Logan N Nierzwicki |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7341 A Lake St, River Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063969004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070022504 (Illinois) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan N Nierzwicki, PT 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-6200 | Logan N Nierzwicki, PT 7341 A Lake St, River Forest, IL 60305 Ph: (708) 763-0564 |
Mrs. Lucelita Abad Duffy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7411 Lake Street, Rehabilitation & Sports Medicine West Suburban Resurrec, River Forest, IL 60305 Phone: 708-488-1700 Fax: 708-488-2391 |
Esther Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7411 Lake St, Suite 2190, River Forest, IL 60305 Phone: 312-488-1700 |
Lillian Kong, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7411 Lake St, Suite 2190, River Forest, IL 60305 Phone: 708-488-1700 |
Sean Mcinerney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7607 North Ave Frnt, River Forest, IL 60305 Phone: 847-447-3098 Fax: 312-312-9631 |
Accelerated Rehabilitation Centers, Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7341 Lake St, A, River Forest, IL 60305 Phone: 708-763-0564 Fax: 708-763-8739 |
Centre Physical Therapy River Forest Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7625 Lake St, River Forest, IL 60305 Phone: 312-391-8752 Fax: 708-628-4189 |
Corey Ann Mcgrath, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7411 Lake St, Suite 2190, River Forest, IL 60305 Phone: 708-488-1700 Fax: 708-488-2391 |