Vaughan Prehab Llc | |
1615 Hart Rd, Batavia, IL 60510-9316 | |
(815) 593-6633 | |
Not Available |
Full Name | Vaughan Prehab Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1615 Hart Rd, Batavia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568228617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Amber Lyn Nissa Vaughan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699053793 PECOS PAC ID: 1355511817 Enrollment ID: I20110819000459 |
Mailing Address | Practice Location Address |
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Vaughan Prehab Llc 1615 Hart Rd, Batavia, IL 60510-9316 Ph: (815) 593-6633 | Vaughan Prehab Llc 1615 Hart Rd, Batavia, IL 60510-9316 Ph: (815) 593-6633 |
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Rebecca R Mohan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1049 E Wilson St Ste 120, Batavia, IL 60510 Phone: 630-933-1500 | |
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Therapy Care Services Corporation Physical Therapist Medicare: Medicare Enrolled Practice Location: 1001 E Wilson St Ste 100, Batavia, IL 60510 Phone: 630-761-0900 Fax: 630-761-0909 | |
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