Samuel Almoguera Tambago Jr, DPT | |
2224 Misty Creek Trl, Bolingbrook, IL 60490-5047 | |
(714) 417-6155 | |
Not Available |
Full Name | Samuel Almoguera Tambago Jr |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2224 Misty Creek Trl, 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 |
---|---|---|---|
1023430691 | NPI | - | NPPES |
0307161979 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070016190 (Illinois) | Primary |
Provider Name | Encore Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336896240 PECOS PAC ID: 8123403904 Enrollment ID: O20221102002409 |
Mailing Address | Practice Location Address |
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Samuel Almoguera Tambago Jr, DPT 2224 Misty Creek Trl, Bolingbrook, IL 60490-5047 Ph: (714) 417-6155 | Samuel Almoguera Tambago Jr, DPT 2224 Misty Creek Trl, Bolingbrook, IL 60490-5047 Ph: (714) 417-6155 |
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 | |
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 |