Brock Prizel, DPT | |
610 S Maple Ave Ste 1550, Oak Park, IL 60304-2802 | |
(877) 632-6637 | |
(708) 409-5179 |
Full Name | Brock Prizel |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 610 S Maple Ave Ste 1550, Oak Park, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417612144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070026327 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthomidwest Pllc | 0749183713 | 384 |
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Orthomidwest Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
Brock Prizel, DPT Po Box 735263, Chicago, IL 60673-5263 Ph: (877) 632-6637 | Brock Prizel, DPT 610 S Maple Ave Ste 1550, Oak Park, IL 60304-2802 Ph: (877) 632-6637 |
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