Brian Pedersen, PT | |
4607 Golf Rd, Skokie, IL 60076-1209 | |
(847) 673-5073 | |
(847) 673-2475 |
Full Name | Brian Pedersen |
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Gender | Male |
Speciality | Physical Therapist |
Location | 4607 Golf Rd, Skokie, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285922146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-018515 (Illinois) | Primary |
Provider Name | Rush University Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
Mailing Address | Practice Location Address |
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Brian Pedersen, PT 4607 Golf Rd, Skokie, IL 60076-1209 Ph: (847) 673-5073 | Brian Pedersen, PT 4607 Golf Rd, Skokie, IL 60076-1209 Ph: (847) 673-5073 |
Jeanpois Ltd. Physical Therapist Medicare: Medicare Enrolled Practice Location: 8448 Kimball Ave, Skokie, IL 60076 Phone: 847-736-3939 | |
Jolynette Ella Ilagan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3919 Main St, Skokie, IL 60076 Phone: 847-763-0415 Fax: 847-763-0415 | |
Katie Konstant, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9600 Gross Point Rd, Skokie, IL 60076 Phone: 847-933-3800 | |
Mr. Khaled P Oweimrin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8019 Lincoln Ave, Skokie, IL 60077 Phone: 773-490-0151 | |
Rafael Victor S De Veyra, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9933 Lawler Ave Ste 206b, Skokie, IL 60077 Phone: 847-983-8841 Fax: 888-401-3644 | |
Emily Claire Dupuy, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9300 Weber Park Pl, Room 225, Skokie, IL 60077 Phone: 847-779-6100 | |
Donna Nicdao Tia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8950 Bronx Ave Apt 1a, Skokie, IL 60077 Phone: 872-223-8884 |