Mannu James Joseph, PT | |
707 Lake Cook Rd Ste 120, Deerfield, IL 60015-4909 | |
(847) 858-5172 | |
Not Available |
Full Name | Mannu James Joseph |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 707 Lake Cook Rd Ste 120, Deerfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649927963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070013802 (Illinois) | Primary |
Provider Name | Quality Physical Therapy And Rehabilitation Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003641051 PECOS PAC ID: 6305370842 Enrollment ID: O20241106003684 |
Mailing Address | Practice Location Address |
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Mannu James Joseph, PT 2061 2nd St, Northbrook, IL 60062-6617 Ph: (847) 571-7572 | Mannu James Joseph, PT 707 Lake Cook Rd Ste 120, Deerfield, IL 60015-4909 Ph: (847) 858-5172 |
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