Mallori Lancaster, DPT | |
707 Skokie Blvd Ste 600, Northbrook, IL 60062-2841 | |
(888) 711-2043 | |
Not Available |
Full Name | Mallori Lancaster |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 707 Skokie Blvd Ste 600, Northbrook, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487056933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Physical Therapy, Psc | 1355616319 | 3 |
Provider Name | Summit Physical Therapy, Psc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023536778 PECOS PAC ID: 1355616319 Enrollment ID: O20171002002974 |
Mailing Address | Practice Location Address |
---|---|
Mallori Lancaster, DPT 707 Skokie Blvd Ste 600, Northbrook, IL 60062-2841 Ph: () - | Mallori Lancaster, DPT 707 Skokie Blvd Ste 600, Northbrook, IL 60062-2841 Ph: (888) 711-2043 |
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