| Jerry Sullivan, PT | |
|
1975 Lin Lor Ln, Elgin, IL 60123-4902 | |
| (847) 468-6098 | |
| Not Available |
| Full Name | Jerry Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1975 Lin Lor Ln, Elgin, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487631594 | NPI | - | NPPES |
| 753210 | Other | MEDICARE GROUP | |
| CF2064 | Other | RAILROAD GROUP | |
| 070002636 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-002636 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Sullivan, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jerry Sullivan, PT 1975 Lin Lor Ln, Elgin, IL 60123-4902 Ph: (847) 468-6098 |
Mrs. Linda Sue Roherty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-695-5904 | |
Tiffany Brodersen, PT, DPT, CLT-LANA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2320 Royal Blvd, Elgin, IL 60123 Phone: 224-783-6128 | |
Uriel Favela, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2320 Royal Blvd, Elgin, IL 60123 Phone: 224-783-6128 | |
Miss Ria Esperanza De Leon Jimenez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 Heritage Pkwy, Elgin, IL 60124 Phone: 630-873-0108 | |
Team Rehabilitation Il07, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 365 S Randall Rd, Elgin, IL 60123 Phone: 847-930-5950 Fax: 847-930-5951 | |
Casandra L Holmes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1550 N Randall Rd, Elgin, IL 60123 Phone: 815-398-9491 Fax: 815-381-7498 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 795 Summit St, Unit A, Elgin, IL 60120 Phone: 630-575-1980 |