- Medicare in Oak Brook, IL

  1. Home
is a medicare enrolled "Clinic/center" provider in Oak Brook, Illinois. Their current practice location is 625 Enterprise Dr, Oak Brook, Illinois. You can reach out to their office (for appointments etc.) via phone at (630) 575-1980.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1538197611.

Contact Information

625 Enterprise Dr,
Oak Brook, IL 60523-8813
(630) 575-1980
(630) 928-5080

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center
Location625 Enterprise Dr, Oak Brook, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538197611
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 04/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416865423
  • Enrollment ID: O20060731000458

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538197611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (Michigan)Secondary
225X00000XOccupational Therapist (Michigan)Secondary
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameKevin C Ruddy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356742555
PECOS PAC ID: 8729072848
Enrollment ID: I20040414000099
Provider NameJennifer Michelle Holland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295759348
PECOS PAC ID: 9436129269
Enrollment ID: I20040729000285
Provider NameJennifer L Gurzell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548224165
PECOS PAC ID: 3870550668
Enrollment ID: I20041214000079
Provider NameTodd M Nighswander
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912937350
PECOS PAC ID: 7517919442
Enrollment ID: I20050218000280
Provider NameWenceslita C Gorowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124147640
PECOS PAC ID: 5395799381
Enrollment ID: I20050311000894
Provider NameSusan L Gruber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821189648
PECOS PAC ID: 9931109667
Enrollment ID: I20070103000356
Provider NameBarbara A Shannon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699812800
PECOS PAC ID: 7416059183
Enrollment ID: I20070227000234
Provider NameCari L Mcclellan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265590400
PECOS PAC ID: 8921102542
Enrollment ID: I20070409000284
Provider NameKelli J Courtois
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104043827
PECOS PAC ID: 0941307656
Enrollment ID: I20070515000056
Provider NameMichael K Lurvey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336204049
PECOS PAC ID: 5395837884
Enrollment ID: I20070829000193
Provider NameDavid W Goldenbogen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174715890
PECOS PAC ID: 9638263197
Enrollment ID: I20070914000669
Provider NameMark Joseph Sirois
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598723322
PECOS PAC ID: 3870681661
Enrollment ID: I20071112000537
Provider NameHeather Terese D Agosta
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194967364
PECOS PAC ID: 8820143076
Enrollment ID: I20090911000342
Provider NameJodie Blake
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154644136
PECOS PAC ID: 1052443371
Enrollment ID: I20100721000584
Provider NamePaul A Iamarino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124331343
PECOS PAC ID: 8224226345
Enrollment ID: I20101216000091
Provider NameSusan Mullinix
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770870479
PECOS PAC ID: 4880865732
Enrollment ID: I20110926000350
Provider NameMelissa L Hutten
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245322031
PECOS PAC ID: 2365614864
Enrollment ID: I20111005000391
Provider NameCheryl Goodreau
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1750618716
PECOS PAC ID: 1850568387
Enrollment ID: I20120124000291
Provider NameErica Marie Handy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467735951
PECOS PAC ID: 8426225764
Enrollment ID: I20120127000045
Provider NameRebecca L Ammon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083732432
PECOS PAC ID: 0941462683
Enrollment ID: I20120425000757
Provider NameElizabeth A Dungan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790051555
PECOS PAC ID: 2163684804
Enrollment ID: I20120425000811
Provider NameJason D Shallow
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396096327
PECOS PAC ID: 7810134038
Enrollment ID: I20130507000732
Provider NameFaina Goldin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225225832
PECOS PAC ID: 1951540202
Enrollment ID: I20130617000410
Provider NameAmy Henning
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1326315045
PECOS PAC ID: 4183866627
Enrollment ID: I20130812000799
Provider NameDeena M Dennis Covey
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1467585554
PECOS PAC ID: 4183866502
Enrollment ID: I20130815000140
Provider NameJared Kinney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932331493
PECOS PAC ID: 5799927026
Enrollment ID: I20130815000319
Provider NameMarilyn S Rendel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346373479
PECOS PAC ID: 5890937189
Enrollment ID: I20130816000092
Provider NameStephanie M Ray
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750533170
PECOS PAC ID: 9133361439
Enrollment ID: I20130816000142
Provider NameBrian K Leannais
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710173778
PECOS PAC ID: 5597915975
Enrollment ID: I20130924000953
Provider NameEliot Michael Woolford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710313846
PECOS PAC ID: 1951532555
Enrollment ID: I20140325000657
Provider NameAnthony J Greene
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790100071
PECOS PAC ID: 4486886033
Enrollment ID: I20140414000244
Provider NameCharles E Middleton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225447659
PECOS PAC ID: 8628298411
Enrollment ID: I20140929002259
Provider NameBeata Jagoda-ohman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588979926
PECOS PAC ID: 5496070757
Enrollment ID: I20150206002099
Provider NameMarcela Lotero Swetland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083941330
PECOS PAC ID: 6507184686
Enrollment ID: I20150422000244
Provider NameNichole F Chakur
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104207521
PECOS PAC ID: 8123331667
Enrollment ID: I20150713002704
Provider NameKathleen Maples
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376930859
PECOS PAC ID: 9739492729
Enrollment ID: I20150720003022
Provider NameOlivia M Robie
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659752681
PECOS PAC ID: 5698089548
Enrollment ID: I20150805008244
Provider NamePaul Bowen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851773311
PECOS PAC ID: 2264749373
Enrollment ID: I20150922000056
Provider NameCollin J Colegrove
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790151959
PECOS PAC ID: 7719296656
Enrollment ID: I20151016000209
Provider NameCarolyn M White
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1972652626
PECOS PAC ID: 0042315632
Enrollment ID: I20151228000132
Provider NameSara Joyce Magier
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1881052686
PECOS PAC ID: 8729383328
Enrollment ID: I20160218002395
Provider NameJordan T Mansfield
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023483526
PECOS PAC ID: 1759686264
Enrollment ID: I20160222001236
Provider NameBradley Thomas Zielaskowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720129547
PECOS PAC ID: 7719143411
Enrollment ID: I20160224000361
Provider NameEli K Ochshorn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124487392
PECOS PAC ID: 1153628862
Enrollment ID: I20160323002591
Provider NameRoger Charles Edwards
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740321611
PECOS PAC ID: 0143486803
Enrollment ID: I20160414002153
Provider NameShannon Lynn Lubs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043451495
PECOS PAC ID: 8820254535
Enrollment ID: I20160503001207
Provider NameLaura Tustin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588809354
PECOS PAC ID: 0446541841
Enrollment ID: I20160615000340
Provider NameMegan Marie Vaness
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902231756
PECOS PAC ID: 4981992146
Enrollment ID: I20161004002353
Provider NameAmy Milioni
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1568911410
PECOS PAC ID: 4587952627
Enrollment ID: I20161005002161
Provider NameJoseph Patino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265974091
PECOS PAC ID: 8325328487
Enrollment ID: I20161206002296
Provider NameTyler Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851836506
PECOS PAC ID: 6204117039
Enrollment ID: I20170110000596
Provider NameMichael S Leither
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174772958
PECOS PAC ID: 2567741440
Enrollment ID: I20170524002247
Provider NameKathleen Walworth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548797004
PECOS PAC ID: 1658649561
Enrollment ID: I20170619001081
Provider NameBarbara Anne Cliffe-miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497014831
PECOS PAC ID: 6406154368
Enrollment ID: I20170620000072
Provider NameJeffrey Skop
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154841724
PECOS PAC ID: 4082985288
Enrollment ID: I20170807001894
Provider NameJillian Thompson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558885038
PECOS PAC ID: 6305117342
Enrollment ID: I20170809001408
Provider NameChas S Frey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215466560
PECOS PAC ID: 6204109135
Enrollment ID: I20170829000667
Provider NameRyan Mertz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699917070
PECOS PAC ID: 7719250935
Enrollment ID: I20170908001867
Provider NameHima Kambhampati
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952422891
PECOS PAC ID: 8426206343
Enrollment ID: I20171019000608
Provider NameElise Marsh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043723596
PECOS PAC ID: 8022374826
Enrollment ID: I20171110002113
Provider NameAmber L Samojedny
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710494885
PECOS PAC ID: 5890054738
Enrollment ID: I20180122002137
Provider NameBradley Arthur Rose
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548778244
PECOS PAC ID: 8729348917
Enrollment ID: I20180208000699
Provider NameBrian Patrick Wolfe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669782363
PECOS PAC ID: 5294097283
Enrollment ID: I20180403002587
Provider NameMary Olear
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1376512723
PECOS PAC ID: 6800142167
Enrollment ID: I20180629000827
Provider NameLesley Bauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255524492
PECOS PAC ID: 6103174289
Enrollment ID: I20180806002696
Provider NameScott Snyder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679985360
PECOS PAC ID: 8123245651
Enrollment ID: I20180828002948
Provider NameSteven Chmielewski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467731349
PECOS PAC ID: 0648436311
Enrollment ID: I20181026001229
Provider NameKyle Platek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689169013
PECOS PAC ID: 0042563611
Enrollment ID: I20181029001555
Provider NameBijal Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679947741
PECOS PAC ID: 6507101573
Enrollment ID: I20181219001309
Provider NameAmmar Jamal
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578035002
PECOS PAC ID: 0345585816
Enrollment ID: I20190103000667
Provider NameTrevor Myers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740767136
PECOS PAC ID: 7113263484
Enrollment ID: I20190107003366
Provider NameAmbika Kunnath Puliyakote
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346767613
PECOS PAC ID: 7012189749
Enrollment ID: I20190108000356
Provider NameAleise Chartier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255731410
PECOS PAC ID: 4183962350
Enrollment ID: I20190213001660
Provider NameDeborah Wildenhaus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639668072
PECOS PAC ID: 0143569400
Enrollment ID: I20190304001581
Provider NameKenneth Harlan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568920288
PECOS PAC ID: 1557601002
Enrollment ID: I20190319002517
Provider NameRichard Dennis Lafave
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982861183
PECOS PAC ID: 3072689942
Enrollment ID: I20190506002419
Provider NameDavid Schuler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205491784
PECOS PAC ID: 5991048613
Enrollment ID: I20190521003218
Provider NameDerrik Faunt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922664341
PECOS PAC ID: 9638412141
Enrollment ID: I20190528000030
Provider NameJulia Suyak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942868385
PECOS PAC ID: 7113250143
Enrollment ID: I20190606001815
Provider NameLeython Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558759704
PECOS PAC ID: 0648595504
Enrollment ID: I20190708001305
Provider NameBenjamin Mccown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114586997
PECOS PAC ID: 4880929108
Enrollment ID: I20190709002407
Provider NameBenjamin Miers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548548902
PECOS PAC ID: 2961668702
Enrollment ID: I20190717000164
Provider NameSathyamoorthy Subramanian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386896132
PECOS PAC ID: 4880920859
Enrollment ID: I20190729002832
Provider NameAshley Lila Carignan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336796101
PECOS PAC ID: 3072844935
Enrollment ID: I20191008002771
Provider NameNathan Scott Hawley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902265390
PECOS PAC ID: 0345536124
Enrollment ID: I20191120000930
Provider NameBrecken Noelle Schaller Tinney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689211989
PECOS PAC ID: 9830524230
Enrollment ID: I20200113001375
Provider NameSydney Hooks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013556976
PECOS PAC ID: 4082040597
Enrollment ID: I20200131001533
Provider NameAhmad J Hage Ahmad
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659904795
PECOS PAC ID: 9931537792
Enrollment ID: I20200310002522

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

600 Oakmont Ln Ste 600c,
Westmont, IL 60559-5548

Ph: (630) 575-1980
625 Enterprise Dr,
Oak Brook, IL 60523-8813

Ph: (630) 575-1980

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.