Activefit Physical Therapy And Personal Training | |
12172 S. Route 47, #125, Huntley, IL 60142 | |
(847) 920-7110 | |
(847) 920-7110 |
Full Name | Activefit Physical Therapy And Personal Training |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 12172 S. Route 47, Huntley, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881201895 | NPI | - | NPPES |
070020797 | Other | IL | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Jennifer C Pate |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386043867 PECOS PAC ID: 7719107234 Enrollment ID: I20141006001390 |
Mailing Address | Practice Location Address |
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Activefit Physical Therapy And Personal Training 12172 S. Route 47, #125, Huntley, IL 60142 Ph: (847) 920-7110 | Activefit Physical Therapy And Personal Training 12172 S. Route 47, #125, Huntley, IL 60142 Ph: (847) 920-7110 |
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Mr. Bryan M Shanahan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12531 Regency Pkwy, Huntley, IL 60142 Phone: 847-659-1000 Fax: 847-659-1012 | |
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