| Physical Therapy Of Lake Forrest, Llc | |
|
840 S Waukegan Rd Ste 212, Lake Forest, IL 60045-2619 | |
| (847) 455-6674 | |
| Not Available |
| Full Name | Physical Therapy Of Lake Forrest, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 840 S Waukegan Rd Ste 212, Lake Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255972535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ellen Humphrey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114256997 PECOS PAC ID: 0749578516 Enrollment ID: I20161011001145 |
| Provider Name | Juliette C Dassinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437758877 PECOS PAC ID: 2769895218 Enrollment ID: I20201230002335 |
| Provider Name | Amy Shortal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992183214 PECOS PAC ID: 8426461716 Enrollment ID: I20210105002490 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy Of Lake Forrest, Llc 840 S Waukegan Rd Ste 212, Lake Forest, IL 60045-2619 Ph: (847) 455-6674 | Physical Therapy Of Lake Forrest, Llc 840 S Waukegan Rd Ste 212, Lake Forest, IL 60045-2619 Ph: (847) 455-6674 |
Kelly Stanczak, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 E Deerpath, Lake Forest, IL 60045 Phone: 847-482-1433 Fax: 847-482-1483 | |
Caroline Lang Overman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6430 Fax: 847-535-7259 | |
June Mccallister, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-8833 Fax: 847-535-8830 | |
Dr. Kathryn Brito, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 N Westmoreland Rd Ste 200, Lake Forest, IL 60045 Phone: 224-271-5400 | |
Justin Andrew Samaniego Arcilla, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-7060 | |
Alison Garmisa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Deerpath, Suite 130, Lake Forest, IL 60045 Phone: 847-482-1433 Fax: 847-482-1483 | |
Athletico Phyiscal Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Deerpath, Suite 130, Lake Forest, IL 60045 Phone: 847-482-1433 Fax: 847-482-1483 |