Mr Augusto Guerra Autea, PT | |
8909 Belleforte Ave, Morton Grove, IL 60053-2018 | |
(555) 555-5555 | |
Not Available |
Full Name | Mr Augusto Guerra Autea |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 8909 Belleforte Ave, Morton Grove, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497001580 | NPI | - | NPPES |
30000776232A | Other | IL | STATE IDENTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.019057 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cortlyn Therapy Pc | 8729495684 | 94 |
Provider Name | Cortlyn Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1235725730 PECOS PAC ID: 8729495684 Enrollment ID: O20210324000045 |
Mailing Address | Practice Location Address |
---|---|
Mr Augusto Guerra Autea, PT 16089 Poppyseed Cir Unit 2008, Delray Beach, FL 33484-6314 Ph: (561) 496-7993 | Mr Augusto Guerra Autea, PT 8909 Belleforte Ave, Morton Grove, IL 60053-2018 Ph: (555) 555-5555 |
Lauren Bakula, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9000 Waukegan Rd, Suite 100, Morton Grove, IL 60053 Phone: 847-779-6050 Fax: 847-929-1167 | |
Joby John, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6759 Dempster St, Morton Grove, IL 60053 Phone: 847-470-9995 Fax: 847-470-9996 | |
Susanne Rokita, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053 Phone: 847-779-6050 Fax: 847-929-1167 | |
Michael Helwig, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053 Phone: 847-779-6050 | |
Leigh Steele, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053 Phone: 847-779-6050 Fax: 847-929-1167 | |
Gibbin George, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053 Phone: 847-779-6050 Fax: 847-929-1167 | |
Amanda M Rafferty, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6759 Dempster St, Morton Grove, IL 60053 Phone: 847-470-9995 |