| Dylan Heine, DPT | |
|
4401 Peak Dr Ste 1, Loves Park, IL 61111-8001 | |
| (815) 668-7700 | |
| (815) 668-7701 |
| Full Name | Dylan Heine |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4401 Peak Dr Ste 1, Loves Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659850816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14069-24 (Wisconsin) | Secondary |
| 225100000X | Physical Therapist | 070-023478 (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 |
|---|---|
| Dylan Heine, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Dylan Heine, DPT 4401 Peak Dr Ste 1, Loves Park, IL 61111-8001 Ph: (815) 668-7700 |
Mr. Karlo Mark Garcia Corsino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7082 Sue Ct Apt 2, Loves Park, IL 61111 Phone: 847-431-7877 | |
Philip Raatz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8451 Orth Rd, Loves Park, IL 61111 Phone: 779-696-2466 | |
Mary Ann Breault, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1941 Harlem Rd, Loves Park, IL 61111 Phone: 815-986-4411 Fax: 815-986-4414 | |
Sheryl Mae Beltran, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5657 Whispering Way, Loves Park, IL 61111 Phone: 815-914-5520 | |
Calibrate Physical Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6110 Broadcast Pkwy Ste B, Loves Park, IL 61111 Phone: 815-298-5647 | |
Ms. Sarah Elizabeth Hawkins, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 921 Short St, Loves Park, IL 61111 Phone: 815-742-1509 Fax: 815-877-5550 | |
Dr. Adam Duane Eiseman, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2004 E Riverside Blvd Lowr Level, Loves Park, IL 61111 Phone: 608-214-8706 |