Mrs Michelle Perry Shamash, OTRL CHT | |
145 Sayton Rd Ste F, Fox Lake, IL 60020-1773 | |
(847) 629-5536 | |
(847) 629-5163 |
Full Name | Mrs Michelle Perry Shamash |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 33 Years |
Location | 145 Sayton Rd Ste F, Fox Lake, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114961026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251H1200X | Physical Therapist - Hand | (Illinois) | Secondary |
225X00000X | Occupational Therapist | 056003039 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dpt Holdings Llc | 4688679293 | 176 |
Dpt Holdings Llc | 4688679293 | 176 |
Provider Name | Dpt Holdings Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20061003000259 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle Perry Shamash, OTRL CHT 600 52nd St Ste 240, Kenosha, WI 53140-3423 Ph: (262) 925-5000 | Mrs Michelle Perry Shamash, OTRL CHT 145 Sayton Rd Ste F, Fox Lake, IL 60020-1773 Ph: (847) 629-5536 |
Allison Marie Kriegler, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442 | |
Brian Creeron, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442 | |
Michelle Renee Ponselle-mays, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 498 S Route 12, Suite C, Fox Lake, IL 60020 Phone: 847-587-3301 Fax: 847-587-3346 |