Mary K Formea, PT | |
1221 N Highland Ave, Aurora, IL 60506-1404 | |
(630) 859-8700 | |
Not Available |
Full Name | Mary K Formea |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 20 Years |
Location | 1221 N Highland Ave, Aurora, 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 |
---|---|---|---|
1558467613 | NPI | - | NPPES |
0451514334 | Other | IL | BCBS PROVIDER ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-015175 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Provider Name | Advocate Health And Hospitals Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003542184 PECOS PAC ID: 7810800935 Enrollment ID: O20220930002728 |
Mailing Address | Practice Location Address |
---|---|
Mary K Formea, PT 2357 Sequoia Dr, Aurora, IL 60506-6222 Ph: (630) 859-6800 | Mary K Formea, PT 1221 N Highland Ave, Aurora, IL 60506-1404 Ph: (630) 859-8700 |
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