| Domenic Diprova, DPT | |
|
1870 E Grand Ave, Lindenhurst, IL 60046-7821 | |
| (224) 643-0117 | |
| (224) 643-1051 |
| Full Name | Domenic Diprova |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1870 E Grand Ave, Lindenhurst, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598459281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Domenic Diprova, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Domenic Diprova, DPT 1870 E Grand Ave, Lindenhurst, IL 60046-7821 Ph: (224) 643-0117 |
Mrs. Caryn D Reuland, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 675 Colony Ave, Lindenhurst, IL 60046 Phone: 847-265-5003 Fax: 847-265-0536 | |
Athletico, Ltd. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1870 E Grand Ave, Lindenhurst, IL 60046 Phone: 224-643-0117 Fax: 224-643-1051 | |
Lauren Gruber, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1025 Red Oak Ln, Suite 100, Lindenhurst, IL 60046 Phone: 847-245-7175 Fax: 847-245-7476 | |
Pinnacle Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 27 Bridlepath Dr, Lindenhurst, IL 60046 Phone: 847-209-8434 Fax: 847-245-3234 | |
Mr. Kenneth John Groh, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Red Oak Ln, Therapy, Lindenhurst, IL 60046 Phone: 847-356-4750 Fax: 847-356-4797 | |
Elina Shapiro, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1025 Red Oak Ln Ste 100, Lindenhurst, IL 60046 Phone: 847-245-7175 Fax: 847-245-7476 | |
Nikita Mukesh Sorathya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1870 E Grand Ave, Lindenhurst, IL 60046 Phone: 224-643-0117 Fax: 224-643-1051 |