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852 Madison St, Oak Park, IL 60302-4441 | |
(708) 445-3965 | |
(708) 445-1355 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 852 Madison St, Oak Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1275775421 | NPI | - | NPPES |
Provider Name | Ryan C Todd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174564744 PECOS PAC ID: 7618924499 Enrollment ID: I20050404000903 |
Provider Name | Kathryn R Medina |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598094245 PECOS PAC ID: 9931235124 Enrollment ID: I20100326000579 |
Provider Name | Austin Henke |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427713163 PECOS PAC ID: 0749658235 Enrollment ID: I20221114002477 |
Mailing Address | Practice Location Address |
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852 Madison St, Oak Park, IL 60302-4441 Ph: (708) 445-3965 | 852 Madison St, Oak Park, IL 60302-4441 Ph: (708) 445-3965 |