| Joshua Ray Banuelos, PT, DPT | |
|
409 W Huron St Ste 300, Chicago, IL 60654-3431 | |
| (312) 604-2562 | |
| Not Available |
| Full Name | Joshua Ray Banuelos |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 409 W Huron St Ste 300, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235916644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070027715 (Illinois) | Primary |
| Provider Name | Orthopedic Physical Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851621601 PECOS PAC ID: 6002942299 Enrollment ID: O20100326000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Ray Banuelos, PT, DPT 2349 N Drake Ave Apt 2, Chicago, IL 60647-7721 Ph: (541) 690-4595 | Joshua Ray Banuelos, PT, DPT 409 W Huron St Ste 300, Chicago, IL 60654-3431 Ph: (312) 604-2562 |
Physical Therapy Clinic Of Chicago, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6135 W Belmont Ave, Chicago, IL 60634 Phone: 773-237-7827 Fax: 773-237-7826 | |
Ms. Carok Ann Gleason, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Nicholas E Crosby, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 W Chestnut St, Apartment 1604, Chicago, IL 60610 Phone: 773-961-5322 | |
Molly Swenson Murgatroyd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 S Promontory Dr, Chicago, IL 60649 Phone: 773-256-5776 | |
Melissa Strzelinski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Dr. Devon Beer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5645 W Addison St, Chicago, IL 60634 Phone: 773-794-7690 | |
Melfa Laroza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 W Division St, Physical Therapy Department, Chicago, IL 60622 Phone: 312-770-2000 Fax: 312-770-3477 |