Ryan Pommier, PT | |
3052 Weber Dr, Suite 1, Aurora, IL 60502-5553 | |
(630) 898-9700 | |
Not Available |
Full Name | Ryan Pommier |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3052 Weber Dr, Aurora, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003936139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070015659 (Illinois) | Primary |
Provider Name | Advanced Physicians Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124075288 PECOS PAC ID: 6103879713 Enrollment ID: O20050223000649 |
Mailing Address | Practice Location Address |
---|---|
Ryan Pommier, PT 3052 Weber Dr., Suite 1, Aurora, IL 60502 Ph: (630) 898-9700 | Ryan Pommier, PT 3052 Weber Dr, Suite 1, Aurora, IL 60502-5553 Ph: (630) 898-9700 |
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