Leslie Kanak, PT | |
211 E Hanover St, New Baden, IL 62265-1811 | |
(618) 234-9705 | |
(618) 257-0665 |
Full Name | Leslie Kanak |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 211 E Hanover St, New Baden, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659699270 | NPI | - | NPPES |
P00891171 | Other | IL | RR MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070016337 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Leslie Kanak, PT 211 E Hanover St, New Baden, IL 62265-1811 Ph: (618) 234-9705 | Leslie Kanak, PT 211 E Hanover St, New Baden, IL 62265-1811 Ph: (618) 234-9705 |
Jennifer Sipula, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 211 E Hanover St, New Baden, IL 62265 Phone: 618-588-4000 Fax: 618-588-4800 | |
Professional Therapy Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E Hanover St, New Baden, IL 62265 Phone: 618-588-4000 Fax: 618-588-4800 | |
Mrs. Michelle Kujawa, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E Hanover St, New Baden, IL 62265 Phone: 618-588-4000 Fax: 618-588-4800 |