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4709 Golf Rd Ste 300 Skokie IL 60076-1233 | |
| (847) 869-7233 | |
| (847) 869-9461 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 4709 Golf Rd Ste 300, Skokie, Illinois |
| Authorized Official Name and Position | Erin L Arnold (OWNER) |
| Authorized Official Contact | 8478697233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4709 Golf Rd Ste 300 Skokie IL 60076-1233 Ph: (847) 869-7233 | 4709 Golf Rd Ste 300 Skokie IL 60076-1233 Ph: (847) 869-7233 |
| NPI Number | 1619032109 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 06/22/2023 |
| Medicare PECOS PAC ID | 4981707494 |
|---|---|
| Medicare Enrollment ID | O20070321000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619032109 | NPI | - | NPPES |
| Provider Name | William J Arnold |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457305823 PECOS PAC ID: 6204873300 Enrollment ID: I20050411000744 |
| Provider Name | Erin L Arnold |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093767733 PECOS PAC ID: 8022055128 Enrollment ID: I20061206000218 |
| Provider Name | Jessica Bunyon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568690485 PECOS PAC ID: 9638224942 Enrollment ID: I20090909000548 |
| Provider Name | Linda T Lederer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346548427 PECOS PAC ID: 5294995866 Enrollment ID: I20120320000434 |
| Provider Name | John T Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417319690 PECOS PAC ID: 6507159654 Enrollment ID: I20190517000005 |
| Provider Name | Ryan D Towns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457954281 PECOS PAC ID: 1254744899 Enrollment ID: I20201229000289 |
| Provider Name | Carolyn A Stalec |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629324371 PECOS PAC ID: 2062827009 Enrollment ID: I20210224002265 |
| Provider Name | Anna Margarita Pacheco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265101364 PECOS PAC ID: 1557759792 Enrollment ID: I20211021000266 |
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