MEDICARE: MICHELE KINSELLA PTA

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	225200000X	Physical Therapy Assistant	160.003730	IL

General Provider Information

NPI Number	:	1932705498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE KINSELLA PTA

Provider Business Mailing Address
First Line	:	7225 W MYRTLE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-1943
Country	:	US
Telephone Number	:	773-576-1598
Fax Number	:

Provider Business Practice Location Address
First Line	:	7225 W MYRTLE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-1943
Country	:	US
Telephone Number	:	773-576-1598
Fax Number	:

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

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	12/10/2020

Similar Medicare Providers

1376524637 — ROSS DIALYSIS-ENGLEWOOD, LLC
Practice Location Address:

946 W 63RD STREET
CHICAGO, IL
60621-1943

Practice Phone: 773-476-4483
Practice Fax: 773-476-4478

1508894981 — CHICAGO-BARTON, LLC
Practice Location Address:

1245 S WOOD ST
CHICAGO, IL
60608-1943

Practice Phone: 312-421-5220
Practice Fax: 312-421-2951

1538370994 — MARTHA PETERING JOHNSON RN, APN.CNS, IBCLC
Practice Location Address:

4138 N HARDING AVE
CHICAGO, IL
60618-1943

Practice Phone: 773-267-0816
Practice Fax: 773-267-0816

1336396217 — ROXANNE KHURSHED PESTONJI PT
Practice Location Address:

1245 S WOOD ST
CHICAGO, IL
60608-1943

Practice Phone: 312-421-5220
Practice Fax:

1932431558 — IBRAHIM ENAB
Practice Location Address:

1943 W SUMMERDALE AVE
CHICAGO, IL
60640-1040

Practice Phone: 312-607-6296
Practice Fax: 773-293-0132

1356774624 — FRESENIUS MEDICAL CARE CHICAGOLAND, LLC
Practice Location Address:

6633 S GREEN ST. , SUITE 100
CHICAGO, IL
60621-1943

Practice Phone: 773-873-0271
Practice Fax: 773-892-2616

Directions to “ MICHELE KINSELLA PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.