Miss Elizabeth Omotayo Abe, | |
3714 N Prospect Rd, Peoria, IL 61614-7743 | |
(309) 550-7888 | |
Not Available |
Full Name | Miss Elizabeth Omotayo Abe |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 3714 N Prospect Rd, Peoria, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790220283 | NPI | - | NPPES |
021 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 070022228 (Illinois) | Secondary |
225100000X | Physical Therapist | 070-022228 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Empowerme Rehabilitation Illinois Llc | 2365718277 | 216 |
Central Illinois Institute Of Balance Llc | 7618072497 | 6 |
Entity Name | Accelerated Rehabilitation Centers Ltd |
---|---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040224000455 |
Entity Name | Central Illinois Institute Of Balance Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255478335 PECOS PAC ID: 7618072497 Enrollment ID: O20070424000332 |
Entity Name | Athletico Ltd |
---|---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Entity Name | Empowerme Rehabilitation Illinois Llc |
---|---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
Entity Name | Empowerme Wellness Kansas City Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
Mailing Address | Practice Location Address |
---|---|
Miss Elizabeth Omotayo Abe, 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | Miss Elizabeth Omotayo Abe, 3714 N Prospect Rd, Peoria, IL 61614-7743 Ph: (309) 550-7888 |