Corban Ege, PT,DPT | |
1513 Dekalb Ave, Sycamore, IL 60178-2703 | |
(815) 758-0000 | |
(815) 991-9484 |
Full Name | Corban Ege |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 1513 Dekalb Ave, Sycamore, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992369920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 070023758 (Illinois) | Primary |
Provider Name | Midwest Orthopaedic Institute Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013976927 PECOS PAC ID: 8729077607 Enrollment ID: O20040506001457 |
Mailing Address | Practice Location Address |
---|---|
Corban Ege, PT,DPT 1952 Aberdeen Ct, Sycamore, IL 60178-3175 Ph: (815) 758-0000 | Corban Ege, PT,DPT 1513 Dekalb Ave, Sycamore, IL 60178-2703 Ph: (815) 758-0000 |
Mr. Michael Dean Reser, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-748-8900 Fax: 815-758-0717 | |
Jason Travis Hiatt, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1952 Aberdeen Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-748-3014 | |
Adrian Espinosa, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1287 Jim Dr, Sycamore, IL 60178 Phone: 815-710-6400 | |
Elzbieta Stolarski, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-748-7800 Fax: 815-758-0717 | |
Millicent Derro, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1513 Dekalb Ave, Sycamore, IL 60178 Phone: 815-766-3967 | |
Cynthia Ann Tucker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-748-8900 Fax: 815-758-0717 | |
Matthew Eickman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-748-3014 |