| Greg Mierzwa, | |
|
10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 | |
| (708) 425-1100 | |
| Not Available |
| Full Name | Greg Mierzwa |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 10300 Southwest Hwy, Chicago Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689030199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070018409 (Illinois) | Primary |
| Provider Name | American Wound Care Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20231129002075 |
| Provider Name | Global Wound Care Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20231211003046 |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Mierzwa, 4615 N Beacon St Apt 1s, Chicago, IL 60640-7012 Ph: (312) 343-3868 | Greg Mierzwa, 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 Ph: (708) 425-1100 |
Mary Ellen Green, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10255 Southwest Hwy, Chicago Ridge, IL 60415 Phone: 708-778-0115 | |
Char Lynn Haran, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10300 Southwest Hwy, Chicago Ridge, IL 60415 Phone: 708-425-1100 | |
Chicago Ridge Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10255 Southwest Hwy, Chicago Ridge, IL 60415 Phone: 708-903-4105 | |
Mr. Agustin Asuit Espinosa Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7030 100th St, Apartment 106, Chicago Ridge, IL 60415 Phone: 706-581-6457 | |
Eric C Sagal, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7030 100th St, Chicago Ridge, IL 60415 Phone: 708-833-9376 | |
Amy A Lohan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10255 Southwest Hwy, Chicago Ridge, IL 60415 Phone: 708-903-4105 |