Mrs Susan Marie Punke, PT | |
2200 E Washington St, Bloomington, IL 61701-4364 | |
(309) 664-3420 | |
(309) 664-3422 |
Full Name | Mrs Susan Marie Punke |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2200 E Washington St, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376625194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 70006956 (Illinois) | Primary |
Provider Name | Osf Multi-specialty Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Marie Punke, PT 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 664-3420 | Mrs Susan Marie Punke, PT 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 664-3420 |
Ms. Mary Claire Biles, PT, MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 Fax: 309-664-3422 | |
Mrs. Patricia O'meara, MPT, NDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 Fax: 309-664-3422 | |
Edward Ericksen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461 | |
Christopher Scot Byers, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 N Williamsburg Dr, Bloomington, IL 61704 Phone: 309-661-8823 | |
Ms. Gretchen Dean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 217-326-2911 Fax: 217-344-8047 | |
Dr. Alissa Recker, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-661-8107 | |
The Therapy Collaborative Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1802 Hackberry Rd, Bloomington, IL 61704 Phone: 309-846-0513 |