Tracy Bowman, | |
165 S Bloomingdale Rd, Bloomingdale, IL 60108-1434 | |
(630) 980-8700 | |
Not Available |
Full Name | Tracy Bowman |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 165 S Bloomingdale Rd, Bloomingdale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316456932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
Mailing Address | Practice Location Address |
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Tracy Bowman, 165 S Bloomingdale Rd, Bloomingdale, IL 60108-1434 Ph: (630) 980-8700 | Tracy Bowman, 165 S Bloomingdale Rd, Bloomingdale, IL 60108-1434 Ph: (630) 980-8700 |
Alyssa Giacalone Bosworth, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 412 Meadowlark Rd, Bloomingdale, IL 60108 Phone: 312-208-4556 | |
Samantha Aron, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 473 W Army Trail Rd, Bloomingdale, IL 60108 Phone: 224-520-8562 | |
Molly Vaughn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 277 Springfield Dr, Bloomingdale, IL 60108 Phone: 630-529-2223 | |
Christine Joy Manuel Antonio, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 165 S Bloomingdale Rd, Bloomingdale, IL 60108 Phone: 630-980-8700 | |
Ashley Podorsky, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 473 W Army Trail Rd Ste 107, Bloomingdale, IL 60108 Phone: 224-520-8562 | |
Miss Jessica Lynn Vertovec, M.S/SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 165 S Bloomingdale Rd, Bloomingdale, IL 60108 Phone: 630-980-8700 |