Mr Jesus Joel Guloy Managuelod, OTR | |
5946 N Milwaukee Ave, Chicago, IL 60646-5424 | |
(773) 775-6637 | |
(773) 775-6638 |
Full Name | Mr Jesus Joel Guloy Managuelod |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 5946 N Milwaukee Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578722575 | NPI | - | NPPES |
056.008180 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056008180 (Illinois) | Primary |
Provider Name | Evolve Healthcare, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316588841 PECOS PAC ID: 8820420342 Enrollment ID: O20191121000150 |
Mailing Address | Practice Location Address |
---|---|
Mr Jesus Joel Guloy Managuelod, OTR 5946 N Milwaukee Ave, Chicago, IL 60646-5424 Ph: (773) 775-6637 | Mr Jesus Joel Guloy Managuelod, OTR 5946 N Milwaukee Ave, Chicago, IL 60646-5424 Ph: (773) 775-6637 |
Brittany Cindy Speron, BRITTANY SPERONMOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Kimberly Kopka, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Kaitlin Elizabeth Brunsvold, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 N Clark St., Chicago, IL 60614 Phone: 312-227-4000 | |
Mrs. Cathleen Conway Jensen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1740 W Taylor St, C100, Chicago, IL 60612 Phone: 312-996-3700 | |
Jesse Forest Langille, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 S Michigan Ave, Chicago, IL 60605 Phone: 312-431-0434 | |
Kathleen Needham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 N Clark St, Chicago, IL 60614 Phone: 312-227-6974 | |
Justine Cabrera, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 W Irving Park Rd, Chicago, IL 60613 Phone: 773-687-9442 |