Individual
MRS. MELINDA NYGREN PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS, CEEAA
Contact information
Practice address
6631 N MILWAUKEE AVE, NILES, IL 60714-4416
(847) 647-7444
Mailing address
1560 INDIAN TRAIL DR, RIVERWOODS, IL 60015-1627
(847) 945-1917
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070002515
IL
2251X0800X
Orthopedic Physical Therapist
070002515
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL 2699-004
MEDICARE PTAN
IL
Enumeration date
04/18/2007
Last updated
06/06/2013
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