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918 Rachel Ct, Plano, IL 60545-9814 | |
(848) 203-9915 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 918 Rachel Ct, Plano, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891187308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 070014643 (Illinois) | Primary |
Provider Name | Romeo De Guzman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013182435 PECOS PAC ID: 7113245069 Enrollment ID: I20150529002230 |
Mailing Address | Practice Location Address |
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918 Rachel Ct, Plano, IL 60545-9814 Ph: (848) 203-9915 | 918 Rachel Ct, Plano, IL 60545-9814 Ph: (848) 203-9915 |
Kea Sports Company Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 806 W Jones St, Plano, IL 60545 Phone: 613-917-9322 |