| Grace Withrow, | |
|
790 Remington Blvd, Bolingbrook, IL 60440-4909 | |
| (866) 370-8206 | |
| Not Available |
| Full Name | Grace Withrow |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapy |
| Experience | 2 Years |
| Location | 790 Remington Blvd, Bolingbrook, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346972015 | NPI | - | NPPES |
| 31007741A | Other | IN | OT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Bone And Joint Institute, Pc. | 3173500519 | 71 |
| Provider Name | Lakeshore Bone & Joint Institute, Pc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362 |
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023313194 PECOS PAC ID: 8325014020 Enrollment ID: O20110628000064 |
| Provider Name | Advanced Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Withrow, 1003 Oak Grove Ct, Valparaiso, IN 46383-2049 Ph: () - | Grace Withrow, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 |
Jatona Harris, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 | |
Eric Isip Magat, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 573 Pinebrook Dr, Bolingbrook, IL 60490 Phone: 630-863-1557 | |
Judith Micek, MOT/L,CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 Fax: 630-378-9169 | |
Natalie Flynn Blackley, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Park Meadow Ln, Bolingbrook, IL 60440 Phone: 217-473-4151 | |
Kelly Supataraporn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 388 Twin Creeks Dr, Bolingbrook, IL 60440 Phone: 630-453-0134 | |
Andres J Olivares, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Brighton Ln, Bolingbrook, IL 60440 Phone: 773-397-7948 | |
Natalie D Loewe, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 Nottingham Dr, Bolingbrook, IL 60440 Phone: 630-335-5983 |