Mary Ann Breault, LPT | |
1941 Harlem Rd, Loves Park, IL 61111-2747 | |
(815) 986-4411 | |
(815) 986-4414 |
Full Name | Mary Ann Breault |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1941 Harlem Rd, Loves Park, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215063193 | NPI | - | NPPES |
10132053 | Other | IL | BCBS PROVIDER NUMBER |
020654168 | Other | IL | TAX ID |
070009033 | Other | IL | STATE LISCENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070009033 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mary Ann Breault, LPT 1941 Harlem Rd, Loves Park, IL 61111-2747 Ph: (815) 986-4411 | Mary Ann Breault, LPT 1941 Harlem Rd, Loves Park, IL 61111-2747 Ph: (815) 986-4411 |
Mr. Karlo Mark Garcia Corsino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7082 Sue Ct Apt 2, Loves Park, IL 61111 Phone: 847-431-7877 | |
Philip Raatz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8451 Orth Rd, Loves Park, IL 61111 Phone: 779-696-2466 | |
Sheryl Mae Beltran, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5657 Whispering Way, Loves Park, IL 61111 Phone: 815-914-5520 | |
Calibrate Physical Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6110 Broadcast Pkwy Ste B, Loves Park, IL 61111 Phone: 815-298-5647 | |
Ms. Sarah Elizabeth Hawkins, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 921 Short St, Loves Park, IL 61111 Phone: 815-742-1509 Fax: 815-877-5550 | |
Dr. Adam Duane Eiseman, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2004 E Riverside Blvd Lowr Level, Loves Park, IL 61111 Phone: 608-214-8706 |