Shidi Lin, | |
1007 W University Ave Unit 315, Urbana, IL 61801-2569 | |
(531) 210-9042 | |
Not Available |
Full Name | Shidi Lin |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1007 W University Ave Unit 315, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124765821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | The Board Of Trustees Of The University Of Illinois |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
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Shidi Lin, 1007 W University Ave Unit 315, Urbana, IL 61801-2569 Ph: (531) 210-9042 | Shidi Lin, 1007 W University Ave Unit 315, Urbana, IL 61801-2569 Ph: (531) 210-9042 |
Anne Fahnestock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
The Carle Foundation Hospital Physical Therapist Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-326-2955 Fax: 217-326-2996 | |
Jeanie J Lam, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 W Anthony Dr, Urbana, IL 61802 Phone: 217-326-2255 Fax: 217-326-0210 | |
Mr. Rajajitendra Varma Vanapala, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 W. Park, Presence Covenant Medical Center, Urbana, IL 61801 Phone: 217-337-2000 Fax: 217-337-4603 | |
Dr. Kathleen Heinricher, PT, DPT, GCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-954-4868 | |
Ms. Kimberly Hardin, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 W Anthony Dr, Urbana, IL 61802 Phone: 217-326-2911 Fax: 217-344-8047 | |
Kimberlie D Mills, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 |