| Shelly Wilson, PT | |
|
790 Remington Blvd, Bolingbrook, IL 60440-4909 | |
| (630) 296-2222 | |
| (630) 759-9510 |
| Full Name | Shelly Wilson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 790 Remington Blvd, 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 |
|---|---|---|---|
| 1275712812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3435 (New Mexico) | Primary |
| Provider Name | Active Solutions Therapy Serv Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720075880 PECOS PAC ID: 9638132830 Enrollment ID: O20041109000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Wilson, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 | Shelly Wilson, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 |
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 | |
Samuel Almoguera Tambago Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2224 Misty Creek Trl, Bolingbrook, IL 60490 Phone: 714-417-6155 | |
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 |