Jerold E Davis, PT, OCS | |
17517 80th Ave, Tinley Park, IL 60477-6501 | |
(708) 429-4814 | |
(708) 429-9174 |
Full Name | Jerold E Davis |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 35 Years |
Location | 17517 80th Ave, Tinley Park, 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 |
---|---|---|---|
1588773352 | NPI | - | NPPES |
1588773352 | Other | IL | NPI |
070006019 | Other | IL | LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 070006019 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rci (wrs), Llc. | 5092624510 | 328 |
Provider Name | Rci (wrs), Llc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1417561655 PECOS PAC ID: 5092624510 Enrollment ID: O20120406000287 |
Mailing Address | Practice Location Address |
---|---|
Jerold E Davis, PT, OCS 17517 80th Ave, Tinley Park, IL 60477-6501 Ph: (708) 429-4814 | Jerold E Davis, PT, OCS 17517 80th Ave, Tinley Park, IL 60477-6501 Ph: (708) 429-4814 |
Ptsir Industrial Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17236 Harlem Ave, Tinley Park, IL 60477 Phone: 708-633-8379 Fax: 708-633-8614 | |
Joshua Gruenke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17129 S. Harlem Avenue, Tinley Park, IL 60477 Phone: 630-967-2000 Fax: 708-745-5115 | |
Jessica Dejong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17236 Harlem Ave, Tinley Park, IL 60477 Phone: 708-633-8379 | |
Patrick Becker, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17837 80th Ave, Tinley Park, IL 60477 Phone: 708-342-2500 Fax: 708-342-1454 | |
Ms. Lalitha R Karra, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17838 Harper Rd, Tinley Park, IL 60477 Phone: 708-532-5350 Fax: 815-550-8703 | |
Margaret L Leise, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16651 Harlem Ave, Tinley Park, IL 60477 Phone: 708-444-2838 Fax: 708-444-3031 | |
Elizabeth A Rodgers, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17129 S Harlem Ave, Ste B3, Tinley Park, IL 60477 Phone: 630-967-2000 Fax: 708-745-5115 |