| Gerard Lablue, PT | |
|
3000 N Main St Unit A, East Peoria, IL 61611-1713 | |
| (309) 674-7874 | |
| Not Available |
| Full Name | Gerard Lablue |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3000 N Main St Unit A, East Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336820265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.027475 (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard Lablue, PT 1702 W Baywood Ave, Peoria, IL 61614-5722 Ph: (916) 226-9266 | Gerard Lablue, PT 3000 N Main St Unit A, East Peoria, IL 61611-1713 Ph: (309) 674-7874 |
Anna Streenz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Carver Ln, East Peoria, IL 61611 Phone: 309-282-6704 | |
Mrs. Elaine Lopez Aguilar, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Centennial Dr, East Peoria, IL 61611 Phone: 309-694-9865 | |
Teresa J. Kuhn, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 High Point Ln, East Peoria, IL 61611 Phone: 309-694-7403 Fax: 309-694-0536 | |
Dr. Dustin Robert Brown, PT, DPT, ATC, LAT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 123 W Spring Creek Rd, East Peoria, IL 61611 Phone: 309-282-4800 Fax: 309-282-4801 | |
Wiktoria A Gruszka, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Eastside Dr, East Peoria, IL 61611 Phone: 309-694-7561 Fax: 309-694-8708 | |
Tatum Nichols, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Carver Ln, East Peoria, IL 61611 Phone: 309-282-6704 |