Mr Robert A Massopust, PT | |
721 W Lake St, Suite 110, Addison, IL 60101-2035 | |
(630) 543-7450 | |
(630) 543-7475 |
Full Name | Mr Robert A Massopust |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 721 W Lake St, Addison, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821272659 | NPI | - | NPPES |
070010142 | Other | IL | ILLINOIS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070010142 (Illinois) | Primary |
Provider Name | Midwest Sports Medicine & Orthopaedic Surgical Specialists, Ltd. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144220724 PECOS PAC ID: 3678502135 Enrollment ID: O20050805000231 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert A Massopust, PT 721 W Lake St, Suite 110, Addison, IL 60101-2035 Ph: (630) 543-7450 | Mr Robert A Massopust, PT 721 W Lake St, Suite 110, Addison, IL 60101-2035 Ph: (630) 543-7450 |
Dr. Timothy Robert Gibbons, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1841 W Army Trail Rd, Addison, IL 60101 Phone: 630-238-9235 | |
Jennifer Alcedo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2171 W Executive Dr Ste 500, Addison, IL 60101 Phone: 630-766-0505 Fax: 630-766-0855 | |
Crystal Wright, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2171 W Executive Dr Ste 500, Addison, IL 60101 Phone: 630-766-0505 | |
Marzena D Kaniuk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 W Lake St, Addison, IL 60101 Phone: 866-644-8040 Fax: 630-705-1980 | |
Adam E Brhel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1776 W Centennial Pl, Addison, IL 60101 Phone: 630-953-0343 Fax: 630-953-0353 | |
Jane Soo Eun, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 W Lake St, Addison, IL 60101 Phone: 630-607-1820 Fax: 630-628-5307 | |
Gazanfer Mushtaq, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1776 W Centennial Pl, Addison, IL 60101 Phone: 630-953-0343 Fax: 630-953-0353 |