| Ms Charulata Basole, PT | |
|
2403 Village Green Pl, Champaign, IL 61822-7676 | |
| (217) 326-2911 | |
| (217) 344-8047 |
| Full Name | Ms Charulata Basole |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2403 Village Green Pl, Champaign, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144346941 | NPI | - | NPPES |
| 4117 | Other | IL | HAMP PROVIDER ID |
| 7216 | Other | PERSONALCARE PROV ID | |
| 113326 | Other | HEALTHLINK PROV ID | |
| 203 | Other | IL | BLUE CROSS PROV ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Charulata Basole, PT 611 W Park St, Urbana, IL 61801-2500 Ph: (217) 326-2911 | Ms Charulata Basole, PT 2403 Village Green Pl, Champaign, IL 61822-7676 Ph: (217) 326-2911 |
Mrs. Angela J Cusick, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1323 | |
Jasmine A Evans, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1323 | |
Blake P Doane, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0037 | |
Keith A Sternhagen, PT, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-356-6543 Fax: 217-356-8010 | |
Benjamin Kim, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2906 Crossing Ct, Champaign, IL 61822 Phone: 217-398-9800 Fax: 217-366-0036 | |
Whitney A Walker, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2403 Village Green Pl, Champaign, IL 61822 Phone: 217-359-4549 Fax: 217-359-4620 | |
Mateusz Wesolowski, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 S Neil St, Champaign, IL 61820 Phone: 217-649-0504 Fax: 217-253-8511 |