| Kyle A Wagner, | |
|
1031 S. Roselle Rd, Schaumburg, IL 60193 | |
| (847) 895-1866 | |
| (847) 895-1877 |
| Full Name | Kyle A Wagner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1031 S. Roselle Rd, Schaumburg, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164272670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.028136 (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 |
|---|---|
| Kyle A Wagner, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Kyle A Wagner, 1031 S. Roselle Rd, Schaumburg, IL 60193 Ph: (847) 895-1866 |
Malgorzata Drag, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 347 W Golf Rd, Schaumburg, IL 60195 Phone: 708-435-1767 | |
Mrs. Colette A Sippel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1320 Tower Rd, Suite 105 And 106, Schaumburg, IL 60173 Phone: 847-385-1981 Fax: 847-859-5896 | |
Smruti Mishra, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 E Woodfield Rd, Suite 102, Schaumburg, IL 60173 Phone: 847-995-9500 Fax: 847-995-9501 | |
Stephanie Jane Abila Chanitthikul, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 N Roselle Rd Ste 800, Schaumburg, IL 60195 Phone: 443-383-9300 | |
Daniel Nierzwicki, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 W Schaumburg Rd, Schaumburg, IL 60194 Phone: 847-490-7100 Fax: 847-490-9356 | |
Mary Christine Gorospe Magbuhat, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1606 Orchard Ave, Schaumburg, IL 60193 Phone: 847-284-5273 | |
Mr. Christopher A Carlson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 929 W Higgins Rd, Schaumburg, IL 60195 Phone: 847-285-4200 |