Jenifer Carlos De Lara, PT | |
1415 Sherman Ave, Apt. 605, Evanston, IL 60201-4453 | |
(773) 817-2522 | |
Not Available |
Full Name | Jenifer Carlos De Lara |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 1415 Sherman Ave, Evanston, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255654950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | 070-009035 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Direct Access Therapy Inc | 1355418682 | 3 |
Provider Name | Direct Access Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902072523 PECOS PAC ID: 1355418682 Enrollment ID: O20080929000055 |
Mailing Address | Practice Location Address |
---|---|
Jenifer Carlos De Lara, PT 1415 Sherman Avenue #605, Evanston, IL 60201 Ph: (773) 817-2522 | Jenifer Carlos De Lara, PT 1415 Sherman Ave, Apt. 605, Evanston, IL 60201-4453 Ph: (773) 817-2522 |
Ryan Perry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 Emerson St, Evanston, IL 60201 Phone: 847-570-9861 | |
Ms. Teresa Maciejczyk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1729 Benson Ave, Evanston, IL 60201 Phone: 847-570-7170 Fax: 847-570-7172 | |
Lee Davimes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1629 Chicago Ave, Evanston, IL 60201 Phone: 847-475-1630 Fax: 847-475-1631 | |
Aimee Jane Aledia Pena, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Asbury Ave, Evanston, IL 60202 Phone: 847-316-3320 | |
Aime Maranan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 839 Dodge Ave, Evanston, IL 60202 Phone: 847-859-6384 | |
Patricia Simmons Anderson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Cleveland St, Evanston, IL 60202 Phone: 847-328-2405 Fax: 847-864-7806 | |
Kellie Audra Banfield, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 Davis St, Evanston, IL 60201 Phone: 847-864-1535 Fax: 847-864-1537 |