Daniel Harenberg, DPT | |
221 E 31st St Apt 4, Chicago, IL 60616-4665 | |
(815) 600-5166 | |
Not Available |
Full Name | Daniel Harenberg |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 221 E 31st St Apt 4, Chicago, 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 |
---|---|---|---|
1003489352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 70023688 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Illinois Luna Care Physical Therapy Llc | 5193153450 | 75 |
Provider Name | Avaya Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1447808712 PECOS PAC ID: 4880021831 Enrollment ID: O20200304000033 |
Provider Name | Illinois Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033755566 PECOS PAC ID: 5193153450 Enrollment ID: O20200319001790 |
Mailing Address | Practice Location Address |
---|---|
Daniel Harenberg, DPT 221 E 31st St Apt 4, Chicago, IL 60616-4665 Ph: (815) 600-5166 | Daniel Harenberg, DPT 221 E 31st St Apt 4, Chicago, IL 60616-4665 Ph: (815) 600-5166 |
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