Thomas J Dyke, DPT | |
4323 W Irving Park Rd Ste 1a, Chicago, IL 60641-2828 | |
(773) 930-3087 | |
Not Available |
Full Name | Thomas J Dyke |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 4323 W Irving Park Rd Ste 1a, Chicago, 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 |
---|---|---|---|
1811321995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070020171 (Illinois) | Primary |
225100000X | Physical Therapist | PT 60531867 (Washington) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physio Chicago Pllc | 3072966696 | 2 |
Provider Name | Physio Chicago Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1083309819 PECOS PAC ID: 3072966696 Enrollment ID: O20240131001257 |
Mailing Address | Practice Location Address |
---|---|
Thomas J Dyke, DPT 4323 W Irving Park Rd Ste 1a, Chicago, IL 60641-2828 Ph: (773) 930-3087 | Thomas J Dyke, DPT 4323 W Irving Park Rd Ste 1a, Chicago, IL 60641-2828 Ph: (773) 930-3087 |
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