Heather Marie Walden, DPT | |
206 W. Blackhawk Drive, Byron, IL 61010 | |
(779) 513-8230 | |
(779) 272-0132 |
Full Name | Heather Marie Walden |
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Gender | Female |
Speciality | Physical Therapist |
Location | 206 W. Blackhawk Drive, Byron, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265779789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070015957 (Illinois) | Primary |
Provider Name | Athletico Ltd |
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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 |
---|---|
Heather Marie Walden, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Heather Marie Walden, DPT 206 W. Blackhawk Drive, Byron, IL 61010 Ph: (779) 513-8230 |
Mallory N Blassingham, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 209 N Union St, Byron, IL 61010 Phone: 815-234-5553 Fax: 815-234-5557 | |
Mrs. Jenifer Elizabeth Druien, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 811 W 2nd St, Byron, IL 61010 Phone: 815-234-5898 | |
Mrs. Bridget L Johnson, PT OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 W Blackhawk Drive, Suite 1u, Byron, IL 61010 Phone: 815-234-5561 Fax: 815-234-5870 | |
Dr. Angela Pfeiffer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 W 2nd St Ste 1a, Byron, IL 61010 Phone: 815-645-9450 | |
Mr. Drew Alan Fitzanko, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 N. Union St., Byron, IL 61010 Phone: 815-234-5553 Fax: 815-234-5557 | |
Mr. Jonathan S Link, MPT OCS CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 W Blackhawk Drive, Suite 1ll, Byron, IL 61010 Phone: 815-234-5561 Fax: 815-234-5870 |