| Third Eye Bliss Pt 1 Llc | |
|
140 E Boughton Rd, Bolingbrook, IL 60440-2014 | |
| (312) 975-7045 | |
| Not Available |
| Full Name | Third Eye Bliss Pt 1 Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 140 E Boughton Rd, Bolingbrook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114671971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Swati S Shenoy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831112135 PECOS PAC ID: 5395741300 Enrollment ID: I20061016000247 |
| Provider Name | Sowjanya Pinnamaneni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730203266 PECOS PAC ID: 0446329387 Enrollment ID: I20080519000779 |
| Provider Name | Marcus G Matthews |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962725515 PECOS PAC ID: 0648301671 Enrollment ID: I20100708000182 |
| Provider Name | Melissa L Pugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063761104 PECOS PAC ID: 3870746316 Enrollment ID: I20130110000601 |
| Provider Name | Nausheen Haroon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073859658 PECOS PAC ID: 1759509078 Enrollment ID: I20160728002110 |
| Provider Name | Binky Bawa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770972473 PECOS PAC ID: 7517222383 Enrollment ID: I20190313000663 |
| Provider Name | Cara L Warning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982202164 PECOS PAC ID: 7416360730 Enrollment ID: I20210106000748 |
| Provider Name | Vanessa Owusu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366011611 PECOS PAC ID: 1951703081 Enrollment ID: I20210713001137 |
| Provider Name | Ajit Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891287124 PECOS PAC ID: 3476943796 Enrollment ID: I20211201000037 |
| Provider Name | Rutvi T Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194072983 PECOS PAC ID: 2961871140 Enrollment ID: I20221209001724 |
| Mailing Address | Practice Location Address |
|---|---|
| Third Eye Bliss Pt 1 Llc 2268 Glouceston Ln, Naperville, IL 60564-8476 Ph: () - | Third Eye Bliss Pt 1 Llc 140 E Boughton Rd, Bolingbrook, IL 60440-2014 Ph: (312) 975-7045 |
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 |