Mr Tyler Aaron Davila, | |
525 Harvest Gate, Lake In The Hills, IL 60156-4877 | |
(630) 550-3040 | |
Not Available |
Full Name | Mr Tyler Aaron Davila |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 3 Years |
Location | 525 Harvest Gate, Lake In The Hills, 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 |
---|---|---|---|
1265105738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056.014308 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dpt Holdings Llc | 4688679293 | 176 |
Paxxon Healthcare Services Llc | 8325959554 | 181 |
Provider Name | Dpt Holdings Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20061003000259 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Tyler Aaron Davila, 910 Legacy Rdg, Algonquin, IL 60102-6331 Ph: (630) 550-3040 | Mr Tyler Aaron Davila, 525 Harvest Gate, Lake In The Hills, IL 60156-4877 Ph: (630) 550-3040 |
Brittany Frankel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Pyott Rd Ste 109, Lake In The Hills, IL 60156 Phone: 847-829-0922 | |
Jana Smith, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Pyott Rd Ste 109, Lake In The Hills, IL 60156 Phone: 184-779-1551 | |
Suzanne Claire Bonje, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Pyott Rd Ste 109, Lake In The Hills, IL 60156 Phone: 847-829-0922 | |
Lindsey Nichole Skinner, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 525 Harvest Gate, Lake In The Hills, IL 60156 Phone: 847-957-7070 | |
Kristin Kronn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Pyott Rd Ste 109, Lake In The Hills, IL 60156 Phone: 847-829-0922 | |
Jennifer M Danowski, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N Randall Rd, Lake In The Hills, IL 60156 Phone: 847-854-8219 Fax: 847-854-8278 |