| Julio C Crisostomo, | |
|
6347 W. Cermak Rd, Ste. A, Berwyn, IL 60402 | |
| (708) 749-2566 | |
| (708) 749-2498 |
| Full Name | Julio C Crisostomo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6347 W. Cermak Rd, Berwyn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306696562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.028120 (Illinois) | Primary |
| 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 |
|---|---|
| Julio C Crisostomo, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Julio C Crisostomo, 6347 W. Cermak Rd, Ste. A, Berwyn, IL 60402 Ph: (708) 749-2566 |
Suburban Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3239 S Grove Ave, Ste #100, Berwyn, IL 60402 Phone: 708-637-5020 Fax: 708-484-7446 | |
Nina Rossiello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 | |
Vanessa Maldonado, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 | |
Alberto Segura Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3501 S Harlem Ave, Berwyn, IL 60402 Phone: 847-818-0461 Fax: 847-818-0462 | |
Deborah Gaddam, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 | |
Dr. Kate Edwards, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3249 S. Oak Park Avenue, Berwyn, IL 60402 Phone: 708-829-1293 | |
James P Boggia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 |