| Nicholas Mortier, | |
|
2500 175th St, Lansing, IL 60438-1801 | |
| (708) 474-7351 | |
| Not Available |
| Full Name | Nicholas Mortier |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 2500 175th St, Lansing, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689097800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Illinois) | Primary |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230517000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Mortier, 131 155th Pl, Calumet City, IL 60409-4617 Ph: () - | Nicholas Mortier, 2500 175th St, Lansing, IL 60438-1801 Ph: (708) 474-7351 |
Rhiannon Amber Duran, CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2500 175th St, Lansing, IL 60438 Phone: 708-474-7330 | |
Sue Hecht, MHSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18300 Greenbay, Lansing, IL 60438 Phone: 708-474-4868 | |
Elizabeth Rose Wilkening, MHS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17845 Henry St, Lansing, IL 60438 Phone: 708-474-4320 | |
Monique Fancher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2101 182nd St, Lansing, IL 60438 Phone: 708-474-1714 | |
Jessica Lynn Potter, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17845 Henry St, Lansing, IL 60438 Phone: 708-474-4320 | |
Lansing School District 158 Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2101 182nd St, Lansing, IL 60438 Phone: 708-474-1714 | |
Elizabeth M Cichocki, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 Phone: 708-474-2383 |