Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carol Lynn Nepomuceno

Individual provider Physical Therapist · NPI 1700995370

Carol Lynn Nepomuceno is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 1990, 36 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
36
Licensed in
IL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3936 N Milwaukee Ave
Chicago, IL 60641-2703
Phone: (630) 368-1771
Fax: (708) 658-2750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 E Huron St Ste 9-105, Chicago, IL 60611-2980 — (312) 926-3700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070006287 (IL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1700995370
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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