| Kelly Stanczak, DPT | |
|
225 E Deerpath, Lake Forest, IL 60045-1952 | |
| (847) 482-1433 | |
| (847) 482-1483 |
| Full Name | Kelly Stanczak |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 225 E Deerpath, Lake Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003049073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-017373 (Illinois) | Primary |
| Provider Name | Accelerated Rehabilitation Centers Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040224000455 |
| 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 |
|---|---|
| Kelly Stanczak, DPT 625 Enterprise Dr., Oak Brook, IL 60523-8813 Ph: (630) 575-6250 | Kelly Stanczak, DPT 225 E Deerpath, Lake Forest, IL 60045-1952 Ph: (847) 482-1433 |
Caroline Lang Overman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6430 Fax: 847-535-7259 | |
June Mccallister, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-8833 Fax: 847-535-8830 | |
Dr. Kathryn Brito, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 N Westmoreland Rd Ste 200, Lake Forest, IL 60045 Phone: 224-271-5400 | |
Justin Andrew Samaniego Arcilla, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-7060 | |
Alison Garmisa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Deerpath, Suite 130, Lake Forest, IL 60045 Phone: 847-482-1433 Fax: 847-482-1483 | |
Athletico Phyiscal Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Deerpath, Suite 130, Lake Forest, IL 60045 Phone: 847-482-1433 Fax: 847-482-1483 |