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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICOLE DESIREE BEAVERS, D.C.

Active

DR. NICOLE DESIREE BEAVERS, D.C. is a Physical Therapy Assistant healthcare provider located in CHICAGO, Illinois. NPI 1942587456 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CHICAGO, IL

Registration Details

NPI Number
1942587456
Provider Type
Individual
Gender
Female
NPI Issued
Nov 11, 2011 (14.763281462722 yrs)
Last Updated
Sep 17, 2024
License
038.012045 (IL)

Practice Information

Address
1255 S STATE ST UNIT 6
CHICAGO, IL, 60605
Browse IL providers · Browse ZIP 60605
Phone
3128800808
Fax
3128800810
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in CHICAGO, IL

Name Credential NPI
DR. SHELDON LO DPT, MS, ATC 1487638920
DR. MOHAMED ATTIA IBRAHIM PT, DSC, MS, NCS 1639155807
KRISTEN J. DALY MPT 1831177005
MS. VONNA LEE KAROGHLANIAN P.T. 1740268986
MS. ANGELA WILSON PENNISI PT 1881673671
KYLE LEONARD PT 1295706190
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.