Leeann Hulteen, PT | |
408 S Oak Park Ave, Oak Park, IL 60302-3876 | |
(708) 445-0433 | |
Not Available |
Full Name | Leeann Hulteen |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 408 S Oak Park Ave, Oak Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174661102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Illinois) | Primary |
Provider Name | Athletico Ltd |
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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 |
---|---|
Leeann Hulteen, PT 308 E 17th St, Chicago, IL 60616-1157 Ph: (312) 656-8054 | Leeann Hulteen, PT 408 S Oak Park Ave, Oak Park, IL 60302-3876 Ph: (708) 445-0433 |
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