| Melissa Susan Nielsen, | |
|
1095 Pingree Rd, Suite119, Crystal Lake, IL 60014-1725 | |
| (847) 458-8890 | |
| (847) 458-8889 |
| Full Name | Melissa Susan Nielsen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 1095 Pingree Rd, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255403424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | (Illinois) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Susan Nielsen, 9171 Falcon Greens Dr, Village Of Lakewood, IL 60014-3322 Ph: () - | Melissa Susan Nielsen, 1095 Pingree Rd, Suite119, Crystal Lake, IL 60014-1725 Ph: (847) 458-8890 |
Wendy Fritz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Lane; Suite 170, Centegra Health System: Neuro-rehabilitation Center, Crystal Lake, IL 60014 Phone: 815-356-2700 | |
Peyton Flynn, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1095 Pingree Rd Ste 209, Crystal Lake, IL 60014 Phone: 847-458-8890 | |
Mrs. Lori Ann Bright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1629 Rolling Hills Dr, Crystal Lake, IL 60014 Phone: 847-669-8008 | |
Evan R Corsolini, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 407 E Congress Pkwy Ste C, Crystal Lake, IL 60014 Phone: 847-987-5085 Fax: 847-462-0755 | |
Nelle Link, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Northwest Hwy, Crystal Lake, IL 60014 Phone: 815-455-7800 Fax: 815-455-1299 | |
Tcm Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4421 S Nancy Dr, Crystal Lake, IL 60014 Phone: 815-245-3845 | |
Ms. Gina Huber, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 E Congress Pkwy, Crystal Lake, IL 60014 Phone: 815-477-4348 Fax: 815-477-5828 |