Gerard Lablue, PT | |
1709 N Main St, Morton, IL 61550-9213 | |
(309) 321-8393 | |
Not Available |
Full Name | Gerard Lablue |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1709 N Main St, Morton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336820265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.027475 (Illinois) | Primary |
Provider Name | Empowerme Rehabilitation Illinois Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
Provider Name | Empowerme Wellness Kansas City Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
Mailing Address | Practice Location Address |
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Gerard Lablue, PT 1702 W Baywood Ave, Peoria, IL 61614-5722 Ph: (916) 226-9266 | Gerard Lablue, PT 1709 N Main St, Morton, IL 61550-9213 Ph: (309) 321-8393 |
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Mrs. Michelle Leann Eckhoff, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1909 N Morton Ave, Morton, IL 61550 Phone: 309-266-5488 Fax: 309-266-9144 |