Provider Demographics
NPI:1659683449
Name:HARDY, NINA CHERONE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:NINA
Middle Name:CHERONE
Last Name:HARDY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:CHERONE
Other - Last Name:TERRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:630-575-6200
Mailing Address - Fax:
Practice Address - Street 1:17751 HALSTED ST
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-2009
Practice Address - Country:US
Practice Address - Phone:708-249-8346
Practice Address - Fax:708-957-5465
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070017096225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist