Patricia Martin, PT | |
520 E Boughton Rd, Bolingbrook, IL 60440-2181 | |
(630) 783-2438 | |
(630) 739-2589 |
Full Name | Patricia Martin |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 520 E Boughton Rd, Bolingbrook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841335056 | NPI | - | NPPES |
11775364 | Other | IN | CAQH |
1275738221 | Other | IN | NPI |
000000535153 | Other | IN | ANTHEM BC/BS |
0007714984 | Other | IN | AETNA |
089937 | Other | IN | SIHO |
260374180100 | Other | IN | PYRAMID TODAYS OPTIONS |
260374180 | Other | IN | CHOICECARE NETWORK |
38856 | Other | IN | IHN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-006253 (Illinois) | Primary |
Provider Name | Advanced Wellness Medical Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831597194 PECOS PAC ID: 6800113887 Enrollment ID: O20150401001009 |
Mailing Address | Practice Location Address |
---|---|
Patricia Martin, PT 205 W Wacker Dr, Suite 1020, Chicago, IL 60606-1216 Ph: (312) 640-0329 | Patricia Martin, PT 520 E Boughton Rd, Bolingbrook, IL 60440-2181 Ph: (630) 783-2438 |
Jennifer N Warning, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 Fax: 630-378-9169 | |
Samuel Almoguera Tambago Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2224 Misty Creek Trl, Bolingbrook, IL 60490 Phone: 714-417-6155 | |
Erika Lauren Elder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Remington Blvd, Bolingbrook, IL 60440 Phone: 630-296-2223 | |
Annie Malone, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 | |
Douglas Bradley, PT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-771-0850 Fax: 630-771-0852 | |
Kristin Marie Lally, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-771-0850 | |
Patricia Victoria D. Castro- Ladra, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 863 W Briarcliff Rd, Bolingbrook, IL 60440 Phone: 630-935-3920 |