Ma Lourdes Chan, | |
4 Walker Ave, Apt. 209, Clarendon Hills, IL 60514-1351 | |
(708) 927-2290 | |
Not Available |
Full Name | Ma Lourdes Chan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4 Walker Ave, Clarendon Hills, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568908432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070019131 (Illinois) | Primary |
Provider Name | Integrated Therapy Specialists Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1477507325 PECOS PAC ID: 8123084779 Enrollment ID: O20041222000773 |
Mailing Address | Practice Location Address |
---|---|
Ma Lourdes Chan, 4 Walker Ave, Apt. 209, Clarendon Hills, IL 60514-1351 Ph: (708) 927-2290 | Ma Lourdes Chan, 4 Walker Ave, Apt. 209, Clarendon Hills, IL 60514-1351 Ph: (708) 927-2290 |
Joshua Casillas, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 229 Burlington Ave, Clarendon Hills, IL 60514 Phone: 630-866-1074 Fax: 630-866-1075 | |
Simply Home Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 419 Ridge Ave, Clarendon Hills, IL 60514 Phone: 773-241-0112 | |
Judith English Johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 55th St, Clarendon Hills, IL 60514 Phone: 630-468-2776 | |
Margaret Kehoe Kruhly, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5632 Virginia Ave, Clarendon Hills, IL 60514 Phone: 224-836-0121 | |
Christine Novak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: The Birches Assisted Living, 215 55th Street, Clarendon Hills, IL 60514 Phone: 630-364-4495 | |
Mrs. Mary Ann Gasior, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Norfolk Ave, Clarendon Hills, IL 60514 Phone: 773-909-1185 Fax: 630-522-4759 |