Doctor Name: | JENNIFER K NULICEK |
NPI Number: | 1215251574 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070-017685 |
Business Practice Address: | 1739 Freedom Dr Suite 101 Naperville, IL - 605633558 |
Business Phone Number: | 6307990122 |
Business Fax Number: | 6307990084 |
Mailing Address: | 1739 Freedom Dr, Suite 101 NAPERVILLE |
State: | IL |
Postal Code: | 605633558 |
Phone Number: | 6307990122 |
Fax Number: | 6307990084 |
NPI Enumeration Date: | 03/16/2010 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-017685 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |