| Dr Brent Wilson, DPT | |
|
1640 W Roosevelt Rd, Chicago, IL 60608-1316 | |
| (312) 355-8305 | |
| (312) 413-8333 |
| Full Name | Dr Brent Wilson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1640 W Roosevelt Rd, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346836814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 070.025455 (Illinois) | Primary |
| Provider Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Provider Name | Carol Stream Service Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679641823 PECOS PAC ID: 8123055688 Enrollment ID: O20050726000957 |
| Provider Name | Elmhurst Olympic Service Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174696959 PECOS PAC ID: 1052408747 Enrollment ID: O20071026000656 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent Wilson, DPT 1640 W Roosevelt Rd, Chicago, IL 60608-1316 Ph: (312) 355-8305 | Dr Brent Wilson, DPT 1640 W Roosevelt Rd, Chicago, IL 60608-1316 Ph: (312) 355-8305 |
Physical Therapy Clinic Of Chicago, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6135 W Belmont Ave, Chicago, IL 60634 Phone: 773-237-7827 Fax: 773-237-7826 | |
Ms. Carok Ann Gleason, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Nicholas E Crosby, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 W Chestnut St, Apartment 1604, Chicago, IL 60610 Phone: 773-961-5322 | |
Molly Swenson Murgatroyd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 S Promontory Dr, Chicago, IL 60649 Phone: 773-256-5776 | |
Melissa Strzelinski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Dr. Devon Beer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5645 W Addison St, Chicago, IL 60634 Phone: 773-794-7690 | |
Melfa Laroza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 W Division St, Physical Therapy Department, Chicago, IL 60622 Phone: 312-770-2000 Fax: 312-770-3477 |