MEDICARE: DR. NANDINI KEEFE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070.028783	IL

General Provider Information

NPI Number	:	1528884541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANDINI KEEFE PT, DPT

Provider Business Mailing Address
First Line	:	1953 W FOSTER AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-1066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 W ROSCOE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-9244
Country	:	US
Telephone Number	:	312-586-1185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2024
Last Update Date	:	04/22/2026

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