| Anders Wallock, MOT, OTR/L | |
|
350 N Wall St, Kankakee, IL 60901-2901 | |
| (815) 933-1671 | |
| Not Available |
| Full Name | Anders Wallock |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 350 N Wall St, Kankakee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982294542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.013950 (Illinois) | Primary |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Provider Name | Healtheast Outpatient Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Anders Wallock, MOT, OTR/L 350 N Wall St, Kankakee, IL 60901-2901 Ph: () - | Anders Wallock, MOT, OTR/L 350 N Wall St, Kankakee, IL 60901-2901 Ph: (815) 933-1671 |
Nathan David Rieder, MOT OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-8220 | |
Tamela Deschand, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Butterfield Trl, Kankakee, IL 60901 Phone: 815-936-6500 | |
Mrs. Karen A Williams, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Butterfield Trl, Kankakee, IL 60901 Phone: 815-936-6500 | |
Danielle Nicole Merkle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Butterfield Trl, Kankakee, IL 60901 Phone: 815-936-6500 | |
Sunny Eartly, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Butterfield Trl, Kankakee, IL 60901 Phone: 815-936-6500 Fax: 815-936-8965 | |
Mrs. Candy Angelica Rosal Caburnay, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7514 | |
Mrs. Esther Algarra, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 909 S 4th Ave, Kankakee, IL 60901 Phone: 815-304-4050 Fax: 815-304-4050 |