Mr Larry Luke Panozzo Jr, CCC-SLP | |
2203 Pembridge Ln, Joliet, IL 60431-7731 | |
(815) 409-8301 | |
(815) 267-8505 |
Full Name | Mr Larry Luke Panozzo Jr |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 2203 Pembridge Ln, Joliet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811143506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 12125459 (Illinois) | Primary |
Provider Name | Fox Rehabilitation Services Il Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114443462 PECOS PAC ID: 8224379763 Enrollment ID: O20190409003124 |
Mailing Address | Practice Location Address |
---|---|
Mr Larry Luke Panozzo Jr, CCC-SLP 18500 Bellagio Cir, Tinley Park, IL 60477-4459 Ph: (708) 533-1080 | Mr Larry Luke Panozzo Jr, CCC-SLP 2203 Pembridge Ln, Joliet, IL 60431-7731 Ph: (815) 409-8301 |
Mary Lynn Sweatt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2423 Glenwood Ave, Joliet, IL 60435 Phone: 815-725-9992 Fax: 815-725-9993 | |
Mrs. Tintu Elsa Abraham, MSC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2423 Glenwood Ave, Joliet, IL 60435 Phone: 815-725-9992 Fax: 815-725-9993 | |
Mrs. Amy L Finan, M.S, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Glenwood Ave, Joliet, IL 60435 Phone: 815-741-7114 | |
Mary Mcloughlin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 306 N Larkin Ave, Joliet, IL 60435 Phone: 815-744-5560 | |
Elizabeth Marie Phillips, MS, CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2132 W Jefferson St, Joliet, IL 60435 Phone: 817-741-7114 | |
Jessica Byczynski, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 306 N Larkin Ave, Joliet, IL 60435 Phone: 815-744-5560 | |
Mrs. Diane Marie Barnes-maguire, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 350 Houbolt Rd, Joliet, IL 60431 Phone: 815-725-9992 Fax: 815-725-9993 |