Shane C Bogner, DPT | |
1733 N Richmond Rd, Mchenry, IL 60051-5413 | |
(815) 385-0730 | |
(815) 385-0572 |
Full Name | Shane C Bogner |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 2 Years |
Location | 1733 N Richmond Rd, Mchenry, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245978428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070026753 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
Shane C Bogner, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Shane C Bogner, DPT 1733 N Richmond Rd, Mchenry, IL 60051-5413 Ph: (815) 385-0730 |
Peter Dionela, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Front St, Mchenry, IL 60050 Phone: 815-578-9655 Fax: 815-578-9642 | |
Scott J Schultz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4151 W Orleans St, Mchenry, IL 60050 Phone: 815-344-9727 Fax: 815-344-9728 | |
Mr. Stephen L Conroy, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Front St, Mchenry, IL 60050 Phone: 815-578-9655 Fax: 815-578-9642 | |
Emily Fay Rotert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5435 Bull Valley Rd Ste 110, Mchenry, IL 60050 Phone: 815-451-4502 | |
Leland T. Gough, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4119 W Shamrock Ln, Mchenry, IL 60050 Phone: 815-398-9491 | |
Andrew Gwost, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1728 N Richmond Rd, Mchenry, IL 60051 Phone: 815-578-8905 Fax: 815-578-8904 | |
Mrs. Julie A Conroy, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Front St, Mchenry, IL 60050 Phone: 815-578-9655 Fax: 815-578-9642 |