| Maria Churak, PT | |
|
350 Surryse Rd, Lake Zurich, IL 60047-3217 | |
| (847) 842-4057 | |
| Not Available |
| Full Name | Maria Churak |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 350 Surryse Rd, Lake Zurich, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447314497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.011263 (Illinois) | Primary |
| Provider Name | Illinois Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033755566 PECOS PAC ID: 5193153450 Enrollment ID: O20200319001790 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Churak, PT 350 Surryse Rd Ste 200, Lake Zurich, IL 60047-3217 Ph: (847) 842-4057 | Maria Churak, PT 350 Surryse Rd, Lake Zurich, IL 60047-3217 Ph: (847) 842-4057 |
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