Mr Vibol Chhong, DPT | |
990 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 | |
(847) 290-1111 | |
(847) 290-1065 |
Full Name | Mr Vibol Chhong |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 990 Elk Grove Town Ctr, Elk Grove Village, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942546700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070022138 (Illinois) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Provider Name | Comprehensive Therapeutics Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
Provider Name | Illinois Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033755566 PECOS PAC ID: 5193153450 Enrollment ID: O20200319001790 |
Mailing Address | Practice Location Address |
---|---|
Mr Vibol Chhong, DPT 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-6250 | Mr Vibol Chhong, DPT 990 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 Ph: (847) 290-1111 |
Kimberly Pittenger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 Meacham Rd, Elk Grove Village, IL 60007 Phone: 847-923-6858 Fax: 847-923-6859 | |
Benjamin H Kim Pt Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 447 New York Ln, Elk Grove Village, IL 60007 Phone: 847-722-4910 | |
Mr. Romeo Ocana Ceniza Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 847-285-4210 Fax: 847-437-1287 | |
Stuart Cox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Meacham Rd, Elk Grove Village, IL 60007 Phone: 847-923-6858 Fax: 847-923-6859 | |
Lauren E Gaeger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 990 Elk Grove Town Ctr, Elk Grove Village, IL 60007 Phone: 847-290-1111 Fax: 847-290-1065 | |
Athletico Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 990 Elk Grove Town Ctr, Elk Grove Village, IL 60007 Phone: 847-290-1111 Fax: 847-290-1065 | |
Ati Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 Meacham Rd, Elk Grove Village, IL 60007 Phone: 847-923-6858 Fax: 847-923-6859 |