Victor E Dejesus, DPT | |
6347 Cermak Rd Ste A, Berwyn, IL 60402-4748 | |
(708) 749-2566 | |
(708) 749-2498 |
Full Name | Victor E Dejesus |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6347 Cermak Rd Ste A, Berwyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447960257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Illinois) | Secondary |
225100000X | Physical Therapist | 070027220 (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 |
---|---|
Victor E Dejesus, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Victor E Dejesus, DPT 6347 Cermak Rd Ste A, Berwyn, IL 60402-4748 Ph: (708) 749-2566 |
Suburban Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3239 S Grove Ave, Ste #100, Berwyn, IL 60402 Phone: 708-637-5020 Fax: 708-484-7446 | |
Nina Rossiello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 | |
Vanessa Maldonado, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 | |
Alberto Segura Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3501 S Harlem Ave, Berwyn, IL 60402 Phone: 847-818-0461 Fax: 847-818-0462 | |
Deborah Gaddam, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 | |
Dr. Kate Edwards, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3249 S. Oak Park Avenue, Berwyn, IL 60402 Phone: 708-829-1293 | |
James P Boggia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6347 Cermak Rd Ste A, Berwyn, IL 60402 Phone: 708-749-2566 Fax: 708-749-2498 |