Brian Creeron, OTD, OTR/L | |
1294 S Route 12, Fox Lake, IL 60020-1950 | |
(847) 973-9440 | |
(847) 973-9442 |
Full Name | Brian Creeron |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 4 Years |
Location | 1294 S Route 12, Fox Lake, 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 |
---|---|---|---|
1356946826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Paxxon Healthcare Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063784148 PECOS PAC ID: 8325959554 Enrollment ID: O20120507000412 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
Brian Creeron, OTD, OTR/L 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Brian Creeron, OTD, OTR/L 1294 S Route 12, Fox Lake, IL 60020-1950 Ph: (847) 973-9440 |
Allison Marie Kriegler, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442 | |
Michelle Renee Ponselle-mays, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 498 S Route 12, Suite C, Fox Lake, IL 60020 Phone: 847-587-3301 Fax: 847-587-3346 |