James Thirunelliparambil, DPT | |
707 Lake Cook Rd Ste 120, Deerfield, IL 60015-4909 | |
(847) 858-5172 | |
Not Available |
Full Name | James Thirunelliparambil |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 707 Lake Cook Rd Ste 120, Deerfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265931273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070013801 (Illinois) | Primary |
Provider Name | Illinois Luna Care Physical Therapy Llc |
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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 Thirunelliparambil, DPT 707 Lake Cook Rd Ste 120, Deerfield, IL 60015-4909 Ph: (847) 858-5172 | James Thirunelliparambil, DPT 707 Lake Cook Rd Ste 120, Deerfield, IL 60015-4909 Ph: (847) 858-5172 |
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