Diane Newquist, PT | |
1213 S Main St, Algonquin, IL 60102-2741 | |
(224) 505-3343 | |
Not Available |
Full Name | Diane Newquist |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1213 S Main St, Algonquin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023128386 | NPI | - | NPPES |
1623066 | Other | IL | BCBS PROVIDER # |
367885100 | Other | IL | U S DEPT OF LABOR PROV# |
568080 | Other | IL | MEDICARE GROUP NUMBER |
1619908 | Other | IL | BCBS IL GROUP NUMBER |
650022978 | Other | IL | R R MEDICARE PIN # |
P00221605 | Other | IL | R R MEDICARE PIN # |
CJ4383 | Other | IL | R R MEDICARE GROUP # |
CJ8115 | Other | IL | R R MEDICARE GRP # |
568150 | Other | IL | MEDICARE GROUP NUMBER |
567700 | Other | IL | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070005212 (Illinois) | Primary |
Provider Name | Dpt Holdings Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20061003000259 |
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 |
---|---|
Diane Newquist, PT 766 Butternut Ln, Elgin, IL 60123-2586 Ph: (847) 987-1627 | Diane Newquist, PT 1213 S Main St, Algonquin, IL 60102-2741 Ph: (224) 505-3343 |
Ruth Christiansen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1140 E Algonquin Rd, Algonquin, IL 60102 Phone: 847-854-0196 | |
Kelly K Brinkman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 | |
Michael Troy Morley, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1406 E Algonquin Rd, Algonquin, IL 60102 Phone: 847-854-0196 Fax: 847-854-0197 | |
Jasmine Yang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 S Randall Rd, Algonquin, IL 60102 Phone: 224-783-6128 | |
Kelsey L Sherman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1517 S Randall Rd, Algonquin, IL 60102 Phone: 847-854-6482 | |
Mr. Michael C Karom Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2375 S Randall Rd, Algonquin, IL 60102 Phone: 708-670-4216 Fax: 224-333-5747 |