| Kevin Leo Vicari, DPT | |
|
16819 Torrence Ave, Lansing, IL 60438-6019 | |
| (708) 394-5215 | |
| Not Available |
| Full Name | Kevin Leo Vicari |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 16819 Torrence Ave, Lansing, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578112975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070024739 (Illinois) | Primary |
| Provider Name | 360 Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932430949 PECOS PAC ID: 1355237645 Enrollment ID: O20040224000822 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336770221 PECOS PAC ID: 2163339722 Enrollment ID: O20200305001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Leo Vicari, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Kevin Leo Vicari, DPT 16819 Torrence Ave, Lansing, IL 60438-6019 Ph: (708) 394-5215 |
Stephanie E Washington, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17045 Torrence Ave, Lansing, IL 60438 Phone: 708-418-3580 Fax: 708-418-3931 | |
Elizabeth Ann Wagner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16819 Torrence Ave, Lansing, IL 60438 Phone: 708-394-5215 Fax: 708-474-3853 | |
Barbara A Danks, Physical Therapist Medicare: Medicare Enrolled Practice Location: 17045 Torrence Ave, Lansing, IL 60438 Phone: 708-418-3580 | |
Mr. Michael Timothy Fitzgerald, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16819 Torrence Ave, Lansing, IL 60438 Phone: 708-394-5215 | |
Justin Wilhoit, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17045 Torrence Ave Unit 300, Lansing, IL 60438 Phone: 708-418-3580 Fax: 708-418-3931 | |
Mrs. Kristine Jaros Robinson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17045 Torrence Ave, Lansing, IL 60438 Phone: 708-418-3580 | |
Ryan Stachorek, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16819 Torrence Ave, Lansing, IL 60438 Phone: 708-394-5215 |