| Renee Pedersen, PT, DPT | |
|
1401 S. California Blvd., Chicago, IL 60608 | |
| (773) 522-2010 | |
| Not Available |
| Full Name | Renee Pedersen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1401 S. California Blvd., Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689924680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.018745 (Illinois) | Primary |
| Provider Name | Comprehensive Therapeutics Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437765583 PECOS PAC ID: 8921230137 Enrollment ID: O20201117000113 |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20221012004094 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Pedersen, PT, DPT 1401 S. California Blvd., Chicago, IL 60608 Ph: () - | Renee Pedersen, PT, DPT 1401 S. California Blvd., Chicago, IL 60608 Ph: (773) 522-2010 |
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