| Invictus Sports Medicine | |
|
28430 N Ballard Dr, Lake Forest, IL 60045-4508 | |
| (847) 980-6826 | |
| Not Available |
| Full Name | Invictus Sports Medicine |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 28430 N Ballard Dr, Lake Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639673130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-023307 (Illinois) | Primary |
| Provider Name | Amador Ayala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457870370 PECOS PAC ID: 1153682067 Enrollment ID: I20180309000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Invictus Sports Medicine 1925 S Osprey Ln, Libertyville, IL 60048-4873 Ph: (847) 980-6826 | Invictus Sports Medicine 28430 N Ballard Dr, Lake Forest, IL 60045-4508 Ph: (847) 980-6826 |
Kelly Stanczak, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 E Deerpath, Lake Forest, IL 60045 Phone: 847-482-1433 Fax: 847-482-1483 | |
Caroline Lang Overman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6430 Fax: 847-535-7259 | |
June Mccallister, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-8833 Fax: 847-535-8830 | |
Dr. Kathryn Brito, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 N Westmoreland Rd Ste 200, Lake Forest, IL 60045 Phone: 224-271-5400 | |
Justin Andrew Samaniego Arcilla, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-7060 | |
Alison Garmisa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Deerpath, Suite 130, Lake Forest, IL 60045 Phone: 847-482-1433 Fax: 847-482-1483 | |
Athletico Phyiscal Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Deerpath, Suite 130, Lake Forest, IL 60045 Phone: 847-482-1433 Fax: 847-482-1483 |