| Kylie Wielgopolan, OT, CHT | |
|
4996 Illinois Route 159, Suite B, Maryville, IL 62062 | |
| (618) 288-4677 | |
| Not Available |
| Full Name | Kylie Wielgopolan |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Hand |
| Location | 4996 Illinois Route 159, Maryville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598512246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XH1200X | Occupational Therapist - Hand | 056010241 (Illinois) | Primary |
| Provider Name | Apex Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033166061 PECOS PAC ID: 2264423458 Enrollment ID: O20040518000891 |
| Provider Name | Apex Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033166061 PECOS PAC ID: 2264423458 Enrollment ID: O20041209000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Kylie Wielgopolan, OT, CHT 2491 Industrial Ct Ste 100, Highland, IL 62249-1365 Ph: (815) 488-8040 | Kylie Wielgopolan, OT, CHT 4996 Illinois Route 159, Suite B, Maryville, IL 62062 Ph: (618) 288-4677 |
Alexandria Marie Hock, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Fox Mill Dr, Maryville, IL 62062 Phone: 618-409-2550 | |
Amy L Stein, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6955 State Route 162, Maryville, IL 62062 Phone: 618-288-3800 | |
Ann Louise Kuebrich, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-6405 | |
Leah Marie Bunting, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6960 Il-162, Maryville, IL 62062 Phone: 618-288-2211 | |
Ashley N. Wagner, DOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-6405 | |
Sharon E. Bonnell, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-5624 Fax: 618-288-4088 | |
Hailey R. Carmody, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-6405 Fax: 618-288-4088 |