John W Kruse, DPT | |
1731 Henry Luckow Ln, Belvidere, IL 61008-1702 | |
(815) 544-6967 | |
(815) 544-6984 |
Full Name | John W Kruse |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 1731 Henry Luckow Ln, Belvidere, 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 |
---|---|---|---|
1245805381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 15422-24 (Wisconsin) | Secondary |
225100000X | Physical Therapist | (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
John W Kruse, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | John W Kruse, DPT 1731 Henry Luckow Ln, Belvidere, IL 61008-1702 Ph: (815) 544-6967 |
Jeremiah Blaser, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1686 Henry Luckow Ln, Belvidere, IL 61008 Phone: 815-547-4777 Fax: 815-547-1024 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1731 Henry Luckow Ln, Belvidere, IL 61008 Phone: 815-544-6967 Fax: 815-544-6984 | |
Nathan Dingess, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1255 Logan Ave, Belvidere, IL 61008 Phone: 815-547-4733 Fax: 815-547-9733 | |
Hannah Marie Rehfeldt, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1686 Henry Luckow Ln, Belvidere, IL 61008 Phone: 815-547-4777 | |
Christine M Moore, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 770 Beloit Rd, Belvidere, IL 61008 Phone: 815-398-9491 Fax: 815-381-7498 | |
Mary Louise Wheaton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2289 Long Ln, Belvidere, IL 61008 Phone: 815-519-5316 Fax: 815-544-6871 | |
Jessica L Sweeney, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 770 Beloit Rd, Belvidere, IL 61008 Phone: 815-398-9491 Fax: 815-381-7498 |