Andrew Mack, | |
3313 Vollmer Rd, Flossmoor, IL 60422-2003 | |
(708) 957-5304 | |
Not Available |
Full Name | Andrew Mack |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3313 Vollmer Rd, Flossmoor, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053421909 | NPI | - | NPPES |
070012449 | Other | IL | LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Illinois Bone And Joint Institute Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
Mailing Address | Practice Location Address |
---|---|
Andrew Mack, 205 W Wacker Dr, Suite 1020, Chicago, IL 60606-1216 Ph: (312) 640-0329 | Andrew Mack, 3313 Vollmer Rd, Flossmoor, IL 60422-2003 Ph: (708) 957-5304 |
Bridget Maureen Bates, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19801 Governors Hwy Ste 100, Flossmoor, IL 60422 Phone: 708-647-1500 Fax: 708-647-1800 | |
Ms. Ann Wilborn Jackson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18860 Hamlin Ave, Flossmoor, IL 60422 Phone: 708-922-0741 Fax: 708-922-0196 | |
Diana Macasaet, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1811 Hanover Ln, Flossmoor, IL 60422 Phone: 708-629-9724 | |
Ronald Rivera, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19550 Governors Hwy, Flossmoor, IL 60422 Phone: 708-915-8409 Fax: 708-915-8576 | |
Dr. Akilah J Townsend, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19550 Governors Hwy, Flossmoor, IL 60422 Phone: 708-915-8470 | |
Sean K Fancher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19801 Governors Hwy, Flossmoor, IL 60422 Phone: 708-647-1500 Fax: 708-647-1800 |