Nicholas Vincent Gornick, PT, DPT
Physical Therapist in Villa Park, IL. Individual provider (NPI-1).
NPI number1982162368
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1982162368
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Vincent Gornick
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2019
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070.023705 | IL | Yes |
Practice location
822 S SummitVilla Park, IL 60181
Phone 630-426-1474
Mailing address
2501 Chatham Rd Ste NSpringfield, IL 62704-4188
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All 30 Physical Therapist providers in Villa Park · All 394 providers in Villa Park
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