Nelli Ban
Individual provider Active NPI Physical Therapist · Buffalo Grove, IL
NPI 1710434832 · NPPES record last updated Sep 23, 2016
Key facts
- NPI
- 1710434832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070018194 (IL)
- Practice address
- 1691 Weiland Rd
Buffalo Grove, IL 60089-6887 - Phone
- (847) 691-0962
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cadence Physical Therapy Co
Practice addresses (Care Compare)
1300 Busch Pkwy
Buffalo Grove, IL 60089-4505
Phone (847) 378-4970
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161212002388 | IL | Practitioner - Physical Therapist in Private Practice | 6305126228 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cadence Physical Therapy Co | Physical Therapist | Current |
Accepting new patients |
| Prime Medical Clinic S.C. | Current |
Accepting new patients |
Locations
1300 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 378-4970
1691 Weiland Rd
Buffalo Grove, IL 60089
Phone (847) 378-4970
3633 W Lake Ave
Ste 307
Glenview, IL 60026
Phone (847) 626-8722
333 Busse Hwy
Unit 1418
Park Ridge, IL 60068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070018194 | IL | Yes |
Addresses
Primary practice location
1691 Weiland Rd
Buffalo Grove, IL 60089-6887
Mailing address
1691 Weiland Rd
Buffalo Grove, IL 60089
Phone (847) 691-0962
Other providers in Buffalo Grove, IL
- Elizabeth Badowski
- Mariana Baker
- Rhonda Levora Baldwin
- Sharon Elizabeth Balicki
- Andrew Baltazar
- Oksana Batejko
- Sara Bayerle
- Kristin Bean
- Faith Salesin Becker
- Christina Beckstrom
All providers in Buffalo Grove, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.