Troy Bloom, DPT | |
34572 N Us Highway 45, Third Lake, IL 60030-4037 | |
(847) 548-3695 | |
(847) 548-3694 |
Full Name | Troy Bloom |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 34572 N Us Highway 45, Third Lake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316481807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1477-24 (Wisconsin) | Secondary |
225100000X | Physical Therapist | 070022808 (Illinois) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
Troy Bloom, DPT 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-1980 | Troy Bloom, DPT 34572 N Us Highway 45, Third Lake, IL 60030-4037 Ph: (847) 548-3695 |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 34572 N Us Highway 45, Third Lake, IL 60030 Phone: 847-548-3695 Fax: 847-548-3694 | |
Jeileen A Belen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 34572 N. U.s. Hwy. 45, Third Lake, IL 60030 Phone: 847-548-3695 Fax: 847-548-3694 | |
Laura Y Joya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 34572 N Us Highway 45, Third Lake, IL 60030 Phone: 847-548-3695 | |
Joshua Moore, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 34572 N Us Highway 45, Space A, Third Lake, IL 60030 Phone: 847-548-3695 | |
Colby Nollin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 34572 N Us Highway 45, Third Lake, IL 60030 Phone: 847-548-3695 | |
Sarah Mclimore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 34572 N Us Highway 45, Third Lake, IL 60030 Phone: 847-548-3695 |