Independence Physical Therapy, Pc | |
1397 Main St, Crete, IL 60417-2951 | |
(708) 367-8050 | |
(708) 367-8051 |
Full Name | Independence Physical Therapy, Pc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1397 Main St, Crete, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134456007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Barbara J Gerk |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013925536 PECOS PAC ID: 8729092267 Enrollment ID: I20060203000294 |
Provider Name | Daniel G Gerk |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245251412 PECOS PAC ID: 6507044179 Enrollment ID: I20110630000022 |
Provider Name | Kyle Boudreau |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336594282 PECOS PAC ID: 3971893504 Enrollment ID: I20160609001193 |
Provider Name | Clinton Boone |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528513769 PECOS PAC ID: 9537447305 Enrollment ID: I20161028001593 |
Mailing Address | Practice Location Address |
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Independence Physical Therapy, Pc 1397 Main St, Crete, IL 60417-2951 Ph: (708) 367-8050 | Independence Physical Therapy, Pc 1397 Main St, Crete, IL 60417-2951 Ph: (708) 367-8050 |
Barbara Gerk, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1397 Main St, Crete, IL 60417 Phone: 708-367-8050 Fax: 708-367-8051 | |
Yash Kaushik, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1251 E Richton Rd, Crete, IL 60417 Phone: 708-539-5200 | |
Tasha Weatherspoon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1251 E Richton Rd, Crete, IL 60417 Phone: 708-672-6700 | |
Dr. Christine Pong, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1397 Main St, Crete, IL 60417 Phone: 708-367-8050 | |
Ray Besst, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 Laurel Ct, Crete, IL 60417 Phone: 708-797-3599 |