| James A Dallas, LPT | |
|
10 E 22nd St, Ste. #305, Lombard, IL 60148-4977 | |
| (630) 792-9790 | |
| (630) 792-9794 |
| Full Name | James A Dallas |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 10 E 22nd St, Lombard, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265465116 | NPI | - | NPPES |
| 650018881 | Other | IL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070002882 (Illinois) | Primary |
| Provider Name | Paxxon Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063784148 PECOS PAC ID: 8325959554 Enrollment ID: O20120507000412 |
| Provider Name | Illinois Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033755566 PECOS PAC ID: 5193153450 Enrollment ID: O20200319001790 |
| Mailing Address | Practice Location Address |
|---|---|
| James A Dallas, LPT 10 E 22nd St, Ste. #305, Lombard, IL 60148-4977 Ph: (630) 792-9790 | James A Dallas, LPT 10 E 22nd St, Ste. #305, Lombard, IL 60148-4977 Ph: (630) 792-9790 |
Nicole Marie Lesak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 S Highland Ave Ste L1, Lombard, IL 60148 Phone: 630-469-9200 | |
Jill M. Maida, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18w431 Roosevelt Rd, Lombard, IL 60148 Phone: 630-620-1580 Fax: 630-620-1588 | |
Teigan O Jung, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 405 E North Ave, Lombard, IL 60148 Phone: 630-748-5329 Fax: 630-576-1622 | |
Leslie Dombrowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 S Finley Rd, Lombard, IL 60148 Phone: 630-620-5850 | |
Magnus Borgehammar, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 S Highland Ave, Lombard, IL 60148 Phone: 639-873-8860 | |
Bansri S Pandya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1801 S Highland Ave Ste L10, Lombard, IL 60148 Phone: 630-967-2000 | |
Rebecca Van Landuyt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Finley Rd, Lombard, IL 60148 Phone: 630-426-2040 |