Dr Craig August Willis, DPT | |
790 Remington Blvd, Bolingbrook, IL 60440-4909 | |
(630) 296-2223 | |
(630) 759-9510 |
Full Name | Dr Craig August Willis |
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Gender | Male |
Speciality | Physical Therapist |
Location | 790 Remington Blvd, Bolingbrook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346694494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3297 (Nevada) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275140311 PECOS PAC ID: 2365359932 Enrollment ID: O20140505000065 |
Provider Name | Nevada Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457087009 PECOS PAC ID: 6901280510 Enrollment ID: O20220831001956 |
Mailing Address | Practice Location Address |
---|---|
Dr Craig August Willis, DPT 6830 W Oquendo Rd, 101, Las Vegas, NV 89118-2539 Ph: (702) 258-3066 | Dr Craig August Willis, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 |
Jennifer N Warning, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 Fax: 630-378-9169 | |
Samuel Almoguera Tambago Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2224 Misty Creek Trl, Bolingbrook, IL 60490 Phone: 714-417-6155 | |
Erika Lauren Elder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Remington Blvd, Bolingbrook, IL 60440 Phone: 630-296-2223 | |
Annie Malone, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 | |
Douglas Bradley, PT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-771-0850 Fax: 630-771-0852 | |
Kristin Marie Lally, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-771-0850 | |
Patricia Victoria D. Castro- Ladra, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 863 W Briarcliff Rd, Bolingbrook, IL 60440 Phone: 630-935-3920 |