| Mr Jeffery C Schade, PHYSICAL THERAPIST | |
|
924 W Custer Ave, Pontiac, IL 61764-1067 | |
| (815) 844-5411 | |
| (815) 844-5318 |
| Full Name | Mr Jeffery C Schade |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 924 W Custer Ave, Pontiac, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295772929 | NPI | - | NPPES |
| 650017444 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070006360 (Illinois) | Primary |
| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffery C Schade, PHYSICAL THERAPIST 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Mr Jeffery C Schade, PHYSICAL THERAPIST 924 W Custer Ave, Pontiac, IL 61764-1067 Ph: (815) 844-5411 |
Mr. Michael S Bennington, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 924 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-4690 Fax: 815-844-4810 | |
Erin Baker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2828 Fax: 815-842-6893 | |
Mrs. Tanya M Knauff, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 924 W Custer Ave, Pontiac, IL 61764 Phone: 877-348-8500 Fax: 815-844-5411 | |
Mr. Thomas L Ladeairous, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 924 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-4690 Fax: 815-844-4810 | |
Mrs. Linda G Carley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1405 Reynolds St, Pontiac, IL 61764 Phone: 815-844-2464 Fax: 815-842-1024 | |
Ms. Kelsey R Carley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1521 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-2464 |