Dr Matthew P Smith, DPT | |
3450 Lacey Rd, Downers Grove, IL 60515-5430 | |
(630) 743-4500 | |
(630) 743-4537 |
Full Name | Dr Matthew P Smith |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3450 Lacey Rd, Downers Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851792261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.020783 (Illinois) | Primary |
Provider Name | Northwestern Medical Faculty Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Provider Name | Goodlife Physical Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1053557264 PECOS PAC ID: 6608924865 Enrollment ID: O20101202000593 |
Provider Name | Midwestern University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538445317 PECOS PAC ID: 6305734773 Enrollment ID: O20120521000662 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew P Smith, DPT 3450 Lacey Rd, Downers Grove, IL 60515-5430 Ph: (630) 743-4500 | Dr Matthew P Smith, DPT 3450 Lacey Rd, Downers Grove, IL 60515-5430 Ph: (630) 743-4500 |
Ms. Sheryl Ann Stachura-pollack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3551 Highland Ave, Suite 100, Downers Grove, IL 60515 Phone: 630-275-2600 Fax: 630-275-2698 | |
Mirette Mikhail, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1626 Ogden Ave, Downers Grove, IL 60515 Phone: 630-743-6655 Fax: 630-743-6656 | |
Mrs. Dipali Patel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Village Dr, Downers Grove, IL 60516 Phone: 732-331-6761 | |
Keriann Groen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 31st St Ste 110, Downers Grove, IL 60515 Phone: 630-929-0122 | |
Mr. Eric William Cockream, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6840 Main St, Downers Grove, IL 60516 Phone: 630-275-8480 | |
Jamie Lee Plackett, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4934 Main St, Downers Grove, IL 60515 Phone: 630-964-4008 |