| Kyle Jeffrey Bulseco, PT, DPT | |
|
430 Pennsylvania Ave Ste 240, Glen Ellyn, IL 60137-4464 | |
| (630) 967-2000 | |
| (630) 545-7816 |
| Full Name | Kyle Jeffrey Bulseco |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 430 Pennsylvania Ave Ste 240, Glen Ellyn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962236448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070028463 (Illinois) | Primary |
| Provider Name | Dupage Medical Group Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20040116000661 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Jeffrey Bulseco, PT, DPT Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Kyle Jeffrey Bulseco, PT, DPT 430 Pennsylvania Ave Ste 240, Glen Ellyn, IL 60137-4464 Ph: (630) 967-2000 |
Joel D Riemenschneider, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 926 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 630-858-8484 Fax: 630-858-9006 | |
Mrs. Mary Jane Hayes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 435 Taft Ave, Glen Ellyn, IL 60137 Phone: 630-790-1091 Fax: 630-790-1091 | |
Michelle Brewer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 240, Glen Ellyn, IL 60137 Phone: 630-967-2000 | |
Megan A Ziman, PT,DPT,ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 875 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 630-469-7858 | |
Mr. Robert Joseph Kennedy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Bryant Ave, Glen Ellyn, IL 60137 Phone: 630-379-8922 | |
Mr. Allen M Cuevas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 Phone: 630-967-2000 Fax: 708-995-1291 | |
Alyssa M Hermann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 |