Individual
NICOLE BOKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
119 E OGDEN AVE, SUITE 110, HINSDALE, IL 60521-3590
(630) 325-2664
(866) 245-8064
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(888) 201-1040
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070006272
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00885657
RAILROAD MEDICARE
—
Enumeration date
12/22/2005
Last updated
02/22/2011
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