| Advanced Physical Medicine Of Yorkville, Ltd | |
|
207 Hillcrest Ave Ste A Yorkville IL 60560-1393 | |
| (630) 553-2111 | |
| (630) 553-0022 |
| Full Name | Advanced Physical Medicine Of Yorkville, Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 Hillcrest Ave Ste A, Yorkville, Illinois |
| Authorized Official Name and Position | John Pochie (OFFICE MANAGER) |
| Authorized Official Contact | 6305532111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Physical Medicine Of Yorkville, Ltd 207 Hillcrest Ave Ste A Yorkville IL 60560-1393 Ph: (630) 553-2111 | Advanced Physical Medicine Of Yorkville, Ltd 207 Hillcrest Ave Ste A Yorkville IL 60560-1393 Ph: (630) 553-2111 |
| NPI Number | 1942415609 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 01/27/2021 |
| Medicare PECOS PAC ID | 5597658815 |
|---|---|
| Medicare Enrollment ID | O20040202001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942415609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 036096782 (Illinois) | Primary |
| Provider Name | Farah H Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871547638 PECOS PAC ID: 5092784744 Enrollment ID: I20040929000394 |
| Provider Name | Brian D Berkey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487733812 PECOS PAC ID: 6305739509 Enrollment ID: I20080221000016 |
| Provider Name | Joseph Minardi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689786683 PECOS PAC ID: 7012182066 Enrollment ID: I20111202000643 |
| Provider Name | Jessica L Jaquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083948780 PECOS PAC ID: 2466606710 Enrollment ID: I20130214000073 |
| Provider Name | Marc Oda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790498459 PECOS PAC ID: 7214308261 Enrollment ID: I20230130002068 |
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