Allison Jane Lovering Fastert, PT, DPT, GCS, IADN | |
2500 Ridge Ave Ste 110, Evanston, IL 60201-2468 | |
(800) 974-4378 | |
(630) 515-1536 |
Full Name | Allison Jane Lovering Fastert |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 2500 Ridge Ave Ste 110, Evanston, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699223925 | NPI | - | NPPES |
070022505 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070022505 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dpt Holdings Llc | 4688679293 | 176 |
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 |
Mailing Address | Practice Location Address |
---|---|
Allison Jane Lovering Fastert, PT, DPT, GCS, IADN 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 Ph: (800) 974-4378 | Allison Jane Lovering Fastert, PT, DPT, GCS, IADN 2500 Ridge Ave Ste 110, Evanston, IL 60201-2468 Ph: (800) 974-4378 |
Ryan Perry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 Emerson St, Evanston, IL 60201 Phone: 847-570-9861 | |
Ms. Teresa Maciejczyk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1729 Benson Ave, Evanston, IL 60201 Phone: 847-570-7170 Fax: 847-570-7172 | |
Lee Davimes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1629 Chicago Ave, Evanston, IL 60201 Phone: 847-475-1630 Fax: 847-475-1631 | |
Aimee Jane Aledia Pena, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Asbury Ave, Evanston, IL 60202 Phone: 847-316-3320 | |
Aime Maranan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 839 Dodge Ave, Evanston, IL 60202 Phone: 847-859-6384 | |
Patricia Simmons Anderson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Cleveland St, Evanston, IL 60202 Phone: 847-328-2405 Fax: 847-864-7806 | |
Kellie Audra Banfield, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 Davis St, Evanston, IL 60201 Phone: 847-864-1535 Fax: 847-864-1537 |