Brent A Panno, OT | |
800 Des Plaines Ave, Forest Park, IL 60130-2035 | |
(708) 366-2442 | |
(708) 366-0179 |
Full Name | Brent A Panno |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 12 Years |
Location | 800 Des Plaines Ave, Forest Park, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063890879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056.010064 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Outpatient Physical Therapy And Sports Rehabilitation Inc Pc | 3678487063 | 26 |
Provider Name | Outpatient Physical Therapy & Sports Rehabilitation Inc Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730394420 PECOS PAC ID: 3678487063 Enrollment ID: O20031119000148 |
Mailing Address | Practice Location Address |
---|---|
Brent A Panno, OT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 | Brent A Panno, OT 800 Des Plaines Ave, Forest Park, IL 60130-2035 Ph: (708) 366-2442 |
Tracy Milefchik, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7421 Madison St, Forest Park, IL 60130 Phone: 773-505-4564 | |
Lesley Sahagun, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7421 Madison St, Forest Park, IL 60130 Phone: 847-909-1490 | |
Ms. Debbie Denean Haymon, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1347 Marengo Ave, Forest Park, IL 60130 Phone: 708-227-6593 Fax: 708-488-0751 | |
Barbara Decker, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 Hannah Ave, Forest Park, IL 60130 Phone: 708-771-2924 | |
Heather Rene Urban, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7421 Madison St, Forest Park, IL 60130 Phone: 501-730-5012 | |
Ms. Karen L. Schwartz, OTR/L MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Des Plaines Ave, Forest Park, IL 60130 Phone: 708-366-2442 |