Jacob D Darragh, PT, ATC | |
2555 Lincoln Hwy, Suite 102, Olympia Fields, IL 60461-1936 | |
(708) 481-2323 | |
(708) 481-3311 |
Full Name | Jacob D Darragh |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 2555 Lincoln Hwy, Olympia Fields, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871749275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-015787 (Illinois) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 096-001739 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Dupage Medical Group Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20040116000661 |
Provider Name | Accelerated Rehabilitation Centers Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040224000455 |
Provider Name | Athletico Ltd |
---|---|
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 |
---|---|
Jacob D Darragh, PT, ATC 205 W Wacker Dr, Suite 1020, Chicago, IL 60606-1216 Ph: (312) 640-0329 | Jacob D Darragh, PT, ATC 2555 Lincoln Hwy, Suite 102, Olympia Fields, IL 60461-1936 Ph: (708) 481-2323 |
Nicole Stotts, PT, DPT, GCS, CEEAA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 S Crawford Ave, Inpatient Therapy Services, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Daniel Rodda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-852-2540 | |
Brianna Fields, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Mr. Daniel G. Gerk, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20060 Governors Dr, Olympia Fields, IL 60461 Phone: 708-283-1789 | |
Jason Carvajal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Julie A Momsen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20060 Governors Dr, Olympia Fields, IL 60461 Phone: 708-283-1789 | |
Nestor Diaz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 Fax: 708-503-3221 |