Carlos Gonzalez, | |
363 N Main St # A, Wauconda, IL 60084-3036 | |
(847) 487-0290 | |
(847) 487-0292 |
Full Name | Carlos Gonzalez |
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Gender | Male |
Speciality | Physical Therapist |
Location | 363 N Main St # A, Wauconda, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164158515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-026742 (Illinois) | Primary |
Provider Name | Apex Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033166061 PECOS PAC ID: 2264423458 Enrollment ID: O20040518000891 |
Mailing Address | Practice Location Address |
---|---|
Carlos Gonzalez, 900 Rand Rd Ste 300, Des Plaines, IL 60016-2359 Ph: (847) 324-3976 | Carlos Gonzalez, 363 N Main St # A, Wauconda, IL 60084-3036 Ph: (847) 487-0290 |
Rebecca Cole, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 363 N Main St, Wauconda, IL 60084 Phone: 847-487-0290 Fax: 847-487-0292 | |
Natalie Howard, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1000 N Rand Rd Ste 103, Wauconda, IL 60084 Phone: 847-562-6496 | |
Leslie D Ferrigan, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 363 N Main St, Suite A, Wauconda, IL 60084 Phone: 847-487-0290 Fax: 847-487-0292 | |
Mr. Peter Andre Bucasas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Thomas Ct, Wauconda, IL 60084 Phone: 847-526-5551 | |
Megan Moran, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 363 N Main St Ste A, Wauconda, IL 60084 Phone: 847-487-0290 Fax: 847-487-0292 | |
Shraddha Arvind Majcher, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 563 Meadowview Dr, Wauconda, IL 60084 Phone: 630-550-8281 |