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4950 Il Route 173, Poplar Grove, IL 61065-9718 | |
| (815) 765-2113 | |
| (815) 943-8426 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4950 Il Route 173, Poplar Grove, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497060743 | NPI | - | NPPES |
| Mailing Address | Practice Location Address |
|---|---|
4950 Il Route 173, Poplar Grove, IL 61065-9718 Ph: (815) 765-2113 | 4950 Il Route 173, Poplar Grove, IL 61065-9718 Ph: (815) 765-2113 |
Gemma Fletcher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4950 Route 173, Poplar Grove, IL 61065 Phone: 815-703-7043 | |
Mrs. Kathleen Marie Newhouse, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13524 Julie Dr, Poplar Grove, IL 61065 Phone: 815-765-1155 Fax: 815-765-1166 |