Agne Velicka, DPT | |
720 Roosevelt Rd, Glen Ellyn, IL 60137-5806 | |
(630) 984-2200 | |
Not Available |
Full Name | Agne Velicka |
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Gender | Female |
Speciality | Physical Therapist |
Location | 720 Roosevelt Rd, Glen Ellyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861116972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070027026 (Illinois) | Primary |
Provider Name | Revolution Ptwl Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164766606 PECOS PAC ID: 7719115617 Enrollment ID: O20140123001222 |
Mailing Address | Practice Location Address |
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Agne Velicka, DPT 1595 Floyd Brown Ln Apt 2a, Glendale Heights, IL 60139-2985 Ph: (847) 602-0031 | Agne Velicka, DPT 720 Roosevelt Rd, Glen Ellyn, IL 60137-5806 Ph: (630) 984-2200 |
Joel D Riemenschneider, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 926 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 630-858-8484 Fax: 630-858-9006 | |
Mrs. Mary Jane Hayes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 435 Taft Ave, Glen Ellyn, IL 60137 Phone: 630-790-1091 Fax: 630-790-1091 | |
Michelle Brewer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 240, Glen Ellyn, IL 60137 Phone: 630-967-2000 | |
Megan A Ziman, PT,DPT,ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 875 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 630-469-7858 | |
Mr. Robert Joseph Kennedy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Bryant Ave, Glen Ellyn, IL 60137 Phone: 630-379-8922 | |
Mr. Allen M Cuevas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 Phone: 630-967-2000 Fax: 708-995-1291 | |
Alyssa M Hermann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 |