Dean Papadopoulos, DPT | |
1294 S Route 12, Fox Lake, IL 60020-1950 | |
(847) 973-9440 | |
(847) 973-9442 |
Full Name | Dean Papadopoulos |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1294 S Route 12, Fox Lake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194744995 | NPI | - | NPPES |
IL6237020 | Other | IL | MEDICARE |
IL6697018 | Other | IL | MEDICARE |
1619908 | Other | IL | BCBS IL GROUP |
568080 | Other | IL | MEDICARE GROUP NUMBER |
568150 | Other | IL | MEDICARE GROUP NUMBER |
567700 | Other | IL | MEDICARE GOUP NUMBER |
IL6238020 | Other | IL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-014551 (Illinois) | Secondary |
225100000X | Physical Therapist | 13522 (Wisconsin) | Primary |
Provider Name | Paxxon Healthcare Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750 |
Mailing Address | Practice Location Address |
---|---|
Dean Papadopoulos, DPT Greenfield Rehab Agency, 3360 Gateway Rd. Suite 100, Brookfield, WI 53045 Ph: (262) 923-7101 | Dean Papadopoulos, DPT 1294 S Route 12, Fox Lake, IL 60020-1950 Ph: (847) 973-9440 |
Accelerated Rehabilitation Center Of Kenosha Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442 | |
Kirsten Nicole Schreiner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Lilac Ave, Fox Lake, IL 60020 Phone: 847-973-8800 | |
Crystal C Scholten, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 | |
Nicholas Kaczkowski, PT, DPT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 145 Sayton Rd Ste F, Fox Lake, IL 60020 Phone: 847-629-5536 Fax: 847-529-5163 | |
Mrs. Michelle Perry Shamash, OTRL CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 145 Sayton Rd Ste F, Fox Lake, IL 60020 Phone: 847-629-5536 Fax: 847-629-5163 | |
Jacob Brown, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 |