| Theracore, Inc. | |
|
16622 W 159th St, Suite 503, Lockport, IL 60441-8014 | |
| (815) 838-5070 | |
| Not Available |
| Full Name | Theracore, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 16622 W 159th St, Lockport, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043481005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Melissa A Fee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386606291 PECOS PAC ID: 1052389988 Enrollment ID: I20040920000366 |
| Provider Name | Amy W Goebbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134263403 PECOS PAC ID: 4486725298 Enrollment ID: I20080623000489 |
| Provider Name | Jennifer A Bazan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366585101 PECOS PAC ID: 8022189836 Enrollment ID: I20080627000171 |
| Provider Name | Kyle A Kibler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720521156 PECOS PAC ID: 0547542763 Enrollment ID: I20170124002028 |
| Provider Name | Jessica Seymore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689249534 PECOS PAC ID: 2264833664 Enrollment ID: I20210623000605 |
| Provider Name | Tanya L Kovacs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023322922 PECOS PAC ID: 5193122307 Enrollment ID: I20210930000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Theracore, Inc. 16622 W 159th St, Suite 503, Lockport, IL 60441-8014 Ph: () - | Theracore, Inc. 16622 W 159th St, Suite 503, Lockport, IL 60441-8014 Ph: (815) 838-5070 |
The Legacy Ranch Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2705 S Farrell Rd, Lockport, IL 60441 Phone: 630-601-8920 | |
Fyzical Therapy And Balance Centers Physical Therapist Medicare: Medicare Enrolled Practice Location: 16109 S Farrell Rd, Lockport, IL 60441 Phone: 847-848-4011 | |
Angela S Thiel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1065 E 9th St, Lockport, IL 60441 Phone: 815-588-1366 Fax: 815-588-2010 | |
Lockport Pain Management, Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Summit Dr, Lockport, IL 60441 Phone: 815-838-9441 | |
Kelly A Shaw, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1147 E 9th St, Lockport, IL 60441 Phone: 815-834-9901 Fax: 815-834-9904 | |
Amy Goebbert, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 16622 W 159th St, Unit 503, Lockport, IL 60441 Phone: 630-204-2977 |