Bijo Mani, | |
201 Neil Ave, Mount Prospect, IL 60056-2686 | |
(847) 269-2344 | |
Not Available |
Full Name | Bijo Mani |
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Gender | Male |
Speciality | Physical Therapist |
Location | 201 Neil Ave, Mount Prospect, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215633540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070013268 (Illinois) | Primary |
Provider Name | Illinois Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033755566 PECOS PAC ID: 5193153450 Enrollment ID: O20200319001790 |
Mailing Address | Practice Location Address |
---|---|
Bijo Mani, 201 Neil Ave, Mount Prospect, IL 60056-2686 Ph: (847) 269-2344 | Bijo Mani, 201 Neil Ave, Mount Prospect, IL 60056-2686 Ph: (847) 269-2344 |
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