Jelani Kehinde Thornton, OT | |
6000 N Allen Road, Peoria, IL 61614-3294 | |
(309) 691-1400 | |
Not Available |
Full Name | Jelani Kehinde Thornton |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 6000 N Allen Road, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104951367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056-007447 (Illinois) | Primary |
Provider Name | Midwest Orthopaedic Center S C |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710938006 PECOS PAC ID: 8022917715 Enrollment ID: O20040106000226 |
Mailing Address | Practice Location Address |
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Jelani Kehinde Thornton, OT 6000 N Allen Road, Peoria, IL 61614-3294 Ph: (309) 691-1400 | Jelani Kehinde Thornton, OT 6000 N Allen Road, Peoria, IL 61614-3294 Ph: (309) 691-1400 |
Lisa Beth Wade, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6901 N Galena Rd, Peoria, IL 61614 Phone: 309-692-4600 | |
Colleen James, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6619 N Mount Hawley Rd, Peoria, IL 61614 Phone: 309-253-5122 | |
Corry Lynn Rediger, OTR/L, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2381 | |
Michelle L Lafollett, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3531 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-683-6900 Fax: 309-683-6902 | |
Madison Hutson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-686-7755 | |
Dexter Cervantes, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Ms. Rachel Emily Anderson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 |