Jon A Debord, PT MS ATC SCS | |
110 E 10th St, Kewanee, IL 61443-1330 | |
(309) 852-2200 | |
(309) 852-2402 |
Full Name | Jon A Debord |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 29 Years |
Location | 110 E 10th St, Kewanee, 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 |
---|---|---|---|
1740247394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070009875 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kewanee Physical Therapy And Rehab Specialists Llc | 3971572470 | 4 |
Provider Name | Kewanee Physical Therapy And Rehab Specialists Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629081906 PECOS PAC ID: 3971572470 Enrollment ID: O20040930001065 |
Mailing Address | Practice Location Address |
---|---|
Jon A Debord, PT MS ATC SCS 110 E 10th St, Kewanee, IL 61443-1330 Ph: (309) 852-2200 | Jon A Debord, PT MS ATC SCS 110 E 10th St, Kewanee, IL 61443-1330 Ph: (309) 852-2200 |
Dr. Ali Jon Asadi, DPT, MTC, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 110 E 10th St, Kewanee, IL 61443 Phone: 309-852-2200 | |
Dr. Amanda K Kocis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Pine Tree Ct, Kewanee, IL 61443 Phone: 309-540-9895 | |
Advanced Rehab And Sports Medicine Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 Tenney St, Kewanee, IL 61443 Phone: 309-853-5500 Fax: 309-853-4150 | |
Norberto Valle Cruz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 Junior Ave, Kewanee, IL 61443 Phone: 309-853-4429 | |
Mrs. J'lynn Kisteen Snyder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1051 W South St, Kewanee, IL 61443 Phone: 309-852-7931 Fax: 309-852-7948 | |
Mr. Philip Gambon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Tenney St, Kewanee, IL 61443 Phone: 309-853-5500 Fax: 309-853-4150 | |
Brian D Grondin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Tenney St, Kewanee, IL 61443 Phone: 309-853-5500 Fax: 309-853-4150 |