Thomas L Chrusciel, | |
350 Surryse Rd Ste 250, Lake Zurich, IL 60047-3230 | |
(847) 842-4057 | |
Not Available |
Full Name | Thomas L Chrusciel |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 350 Surryse Rd Ste 250, Lake Zurich, 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 |
---|---|---|---|
1396272852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070023326 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Provider Name | Advocate Health And Hospitals Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Thomas L Chrusciel, 33900 Harper Ave Ste 104, Clinton Township, MI 48035-4258 Ph: (586) 416-9100 | Thomas L Chrusciel, 350 Surryse Rd Ste 250, Lake Zurich, IL 60047-3230 Ph: (847) 842-4057 |
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