| Gary S Johnson, OT | |
|
522 Main St, Evanston, IL 60202-1815 | |
| (474) 751-6308 | |
| (847) 475-1631 |
| Full Name | Gary S Johnson |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 522 Main St, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619269891 | NPI | - | NPPES |
| 056-009329 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XH1200X | Occupational Therapist - Hand | 056009329 (Illinois) | Secondary |
| 225X00000X | Occupational Therapist | 056009329 (Illinois) | Primary |
| Provider Name | Accelerated Rehabilitation Centers Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040224000455 |
| 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 |
|---|---|
| Gary S Johnson, OT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6250 | Gary S Johnson, OT 522 Main St, Evanston, IL 60202-1815 Ph: (474) 751-6308 |
Joanna Jeanne Josten, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2323 Mcdaniel Ave, Evanston, IL 60201 Phone: 847-905-1234 | |
Ms. Estherbeth Buchbinder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8905 E Prairie Rd, Evanston, IL 60203 Phone: 847-674-8239 Fax: 847-763-8187 | |
Jessica L Siegman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9120 E Prairie Rd, Evanston, IL 60203 Phone: 847-651-3257 | |
Jaime Jo Vehovsky, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2213 Noyes St, Evanston, IL 60201 Phone: 847-563-8261 | |
Alexa Brianne Gerdes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1638 Maple Ave, Evanston, IL 60201 Phone: 877-486-4140 | |
Claudine Marie Holloway, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Reba Pl, #2 S, Evanston, IL 60202 Phone: 847-570-9879 | |
Deepika Shanti Sethi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2530 Ridge Ave, Evanston, IL 60201 Phone: 877-486-4140 |