Mrs Susanna Watts Riley, PT is a
Physical Therapist - Pediatrics based in Gages Lake, Illinois. Mrs Susanna Watts Riley is licensed to practice in Illinois (license number ) and her current practice location is
17370 W Gages Lake Rd, Gages Lake, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 856-2773.
NPI number for Mrs Susanna Watts Riley is 1528031887 and her current mailing address is 2018 Greystem Cir, Apartment 301, Gurnee, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528031887.
Healthcare Provider's Profile
Full Name | Mrs Susanna Watts Riley |
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Gender | Female |
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Speciality | Physical Therapist - Pediatrics |
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Location | 17370 W Gages Lake Rd, Gages Lake, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528031887
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Susanna Watts Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528031887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Susanna Watts Riley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Susanna Watts Riley, PT 2018 Greystem Cir, Apartment 301, Gurnee, IL 60031-9358 Ph: (970) 497-2646 | Mrs Susanna Watts Riley, PT 17370 W Gages Lake Rd, Gages Lake, IL 60030-1831 Ph: (847) 856-2773 |
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