Vincent Paul Isaac, DPT | |
2906 W Fullerton Ave, Chicago, IL 60647-2921 | |
(773) 698-6659 | |
Not Available |
Full Name | Vincent Paul Isaac |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 2906 W Fullerton Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851792600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-021196 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Freeform Physical Therapy Llc | 0941622815 | 5 |
Provider Name | Freeform Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1275152746 PECOS PAC ID: 0941622815 Enrollment ID: O20200623000683 |
Mailing Address | Practice Location Address |
---|---|
Vincent Paul Isaac, DPT 2906 W Fullerton Ave, Chicago, IL 60647-2921 Ph: (773) 698-6659 | Vincent Paul Isaac, DPT 2906 W Fullerton Ave, Chicago, IL 60647-2921 Ph: (773) 698-6659 |
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