Mr Connor Skoumal, DPT | |
403 E 1st St, Dixon, IL 61021-3116 | |
(815) 284-5750 | |
Not Available |
Full Name | Mr Connor Skoumal |
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Gender | Male |
Speciality | Physical Therapist |
Location | 403 E 1st St, Dixon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144856667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070024576 (Illinois) | Primary |
Provider Name | Chebny Sports Medicine Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1598204505 PECOS PAC ID: 5193002673 Enrollment ID: O20170830000902 |
Mailing Address | Practice Location Address |
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Mr Connor Skoumal, DPT 403 E 1st St, Dixon, IL 61021-3187 Ph: () - | Mr Connor Skoumal, DPT 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 284-5750 |
Mr. Michael Joseph Sarno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 E. First Street, Dixon, IL 61021 Phone: 815-285-5591 | |
Jeffrey G. White, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5591 | |
Wendy Sue Phillips, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 East 1st St, Ksb Physical Rehab, Dixon, IL 61021 Phone: 815-285-5591 | |
Patricia J Geisz, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Commerce Towers, Suite 318-319, Dixon, IL 61021 Phone: 815-285-5591 | |
Dpt Physical Therapist Medicare: Medicare Enrolled Practice Location: 841 N Galena Ave Ste 400, Dixon, IL 61021 Phone: 815-285-2273 | |
Devan Mcculloch, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 Lincoln Statue Dr, Dixon, IL 61021 Phone: 815-284-1700 |