| Gavin J Patterson, PT, DPT | |
|
543 Orchard St, Antioch, IL 60002-3107 | |
| (800) 974-4378 | |
| (630) 515-1536 |
| Full Name | Gavin J Patterson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 543 Orchard St, Antioch, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598475659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.026998 (Illinois) | Primary |
| Provider Name | Illinois Bone And Joint Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin J Patterson, PT, DPT 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 Ph: (800) 974-4378 | Gavin J Patterson, PT, DPT 543 Orchard St, Antioch, IL 60002-3107 Ph: (800) 974-4378 |
Daniel F Werner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 543 Orchard St, Antioch, IL 60002 Phone: 847-239-3565 | |
Mr. Michael W Silenzi, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 543 Orchard Str, Antioch, IL 60002 Phone: 847-395-6100 Fax: 847-395-6162 | |
Ma Gina D Augusto, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 Sanderling Ct, Antioch, IL 60002 Phone: 847-395-7973 Fax: 847-395-7973 | |
Mr. Larry V Stone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 543 Orchard St, Antioch, IL 60002 Phone: 847-395-6100 Fax: 847-395-6162 | |
Mrs. Jill A Stone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 543 Orchard St, Antioch, IL 60002 Phone: 847-395-6100 Fax: 847-395-6162 | |
Michael J Leitza, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 417 E Il Route 173 Unit 101, Antioch, IL 60002 Phone: 800-974-4378 Fax: 630-515-1536 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1122 Main St., Antioch, IL 60002 Phone: 847-395-0321 Fax: 847-395-0298 |