Nicholas Daniel Koerner, DPT | |
650 S Randall Rd, Algonquin, IL 60102-5944 | |
(815) 398-9491 | |
Not Available |
Full Name | Nicholas Daniel Koerner |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 650 S Randall Rd, Algonquin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447761929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 070023396 (Illinois) | Primary |
Provider Name | Orthomidwest Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533 |
Mailing Address | Practice Location Address |
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Nicholas Daniel Koerner, DPT Po Box 735263, Chicago, IL 60673-5263 Ph: () - | Nicholas Daniel Koerner, DPT 650 S Randall Rd, Algonquin, IL 60102-5944 Ph: (815) 398-9491 |
Ruth Christiansen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1140 E Algonquin Rd, Algonquin, IL 60102 Phone: 847-854-0196 | |
Diane Newquist, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1213 S Main St, Algonquin, IL 60102 Phone: 224-505-3343 | |
Kelly K Brinkman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 | |
Michael Troy Morley, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1406 E Algonquin Rd, Algonquin, IL 60102 Phone: 847-854-0196 Fax: 847-854-0197 | |
Jasmine Yang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 S Randall Rd, Algonquin, IL 60102 Phone: 224-783-6128 | |
Kelsey L Sherman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1517 S Randall Rd, Algonquin, IL 60102 Phone: 847-854-6482 | |
Mr. Michael C Karom Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2375 S Randall Rd, Algonquin, IL 60102 Phone: 708-670-4216 Fax: 224-333-5747 |