Jeremy Glavanovits, | |
8317 Ogden Ave, Lyons, IL 60534-1122 | |
(847) 818-0461 | |
(847) 305-2917 |
Full Name | Jeremy Glavanovits |
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Gender | Male |
Speciality | Physical Therapist |
Location | 8317 Ogden Ave, Lyons, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316714215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070027936 (Illinois) | Primary |
Provider Name | Team Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891465142 PECOS PAC ID: 2264479518 Enrollment ID: O20211110000664 |
Provider Name | Legacy Physical Therapy And Wellness Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992585095 PECOS PAC ID: 4981055852 Enrollment ID: O20240105000182 |
Mailing Address | Practice Location Address |
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Jeremy Glavanovits, 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: () - | Jeremy Glavanovits, 8317 Ogden Ave, Lyons, IL 60534-1122 Ph: (847) 818-0461 |
Pauline Samonte, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7310 39th St, Suite 100, Lyons, IL 60534 Phone: 708-447-9616 Fax: 708-447-9626 | |
Jasmine Roby, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8317 Ogden Ave, Lyons, IL 60534 Phone: 847-818-0461 Fax: 847-305-2917 | |
Joseph Carr, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8317 Ogden Ave, Lyons, IL 60534 Phone: 847-818-0461 Fax: 847-305-2917 | |
Anna Wypych, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8317 Ogden Ave, Lyons, IL 60534 Phone: 847-818-0461 Fax: 847-305-2917 | |
Mr. Roger T Sardon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7310 Pershing Rd, Suite 100, Lyons, IL 60534 Phone: 708-447-9616 Fax: 708-447-9626 | |
Esraa Ashraf Elkossei, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8317 Ogden Ave, Lyons, IL 60534 Phone: 847-818-0461 Fax: 847-305-2917 |