Michael John Donovitch, DPT | |
2100 Glenwood Ave, Joliet, IL 60435-5487 | |
(630) 967-2000 | |
Not Available |
Full Name | Michael John Donovitch |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 2100 Glenwood Ave, Joliet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831616044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 070.023044 (Illinois) | Primary |
Provider Name | Tria Orthopaedic Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
Mailing Address | Practice Location Address |
---|---|
Michael John Donovitch, DPT 1860 Payshere Circle, Chicago, IL 60674-0001 Ph: (630) 545-6016 | Michael John Donovitch, DPT 2100 Glenwood Ave, Joliet, IL 60435-5487 Ph: (630) 967-2000 |
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