Amanda M Rafferty, PT | |
6759 Dempster St, Morton Grove, IL 60053-2607 | |
(847) 470-9995 | |
Not Available |
Full Name | Amanda M Rafferty |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 6759 Dempster St, Morton Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093935850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070012940 (Illinois) | Primary |
Provider Name | Amanda Rafferty Dpt Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1447907670 PECOS PAC ID: 6002293297 Enrollment ID: O20220509001571 |
Mailing Address | Practice Location Address |
---|---|
Amanda M Rafferty, PT 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-6200 | Amanda M Rafferty, PT 6759 Dempster St, Morton Grove, IL 60053-2607 Ph: (847) 470-9995 |
Lauren Bakula, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9000 Waukegan Rd, Suite 100, Morton Grove, IL 60053 Phone: 847-779-6050 Fax: 847-929-1167 | |
Joby John, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6759 Dempster St, Morton Grove, IL 60053 Phone: 847-470-9995 Fax: 847-470-9996 | |
Susanne Rokita, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053 Phone: 847-779-6050 Fax: 847-929-1167 | |
Michael Helwig, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053 Phone: 847-779-6050 | |
Leigh Steele, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053 Phone: 847-779-6050 Fax: 847-929-1167 | |
Gibbin George, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053 Phone: 847-779-6050 Fax: 847-929-1167 |