| Team Rehabilitation Il12, Llc | |
|
4192 Il Route 83, Long Grove, IL 60047-9563 | |
| (847) 307-5010 | |
| (847) 307-5011 |
| Full Name | Team Rehabilitation Il12, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4192 Il Route 83, Long Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639618614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | John Vinyard Duncombe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508892027 PECOS PAC ID: 6901872449 Enrollment ID: I20040907001002 |
| Provider Name | Jeremy H Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609154244 PECOS PAC ID: 4183880875 Enrollment ID: I20120725000031 |
| Provider Name | Benjamin T Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770990699 PECOS PAC ID: 8527285352 Enrollment ID: I20140819000053 |
| Provider Name | Brian Heimerdinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790267649 PECOS PAC ID: 6103177761 Enrollment ID: I20180920000563 |
| Provider Name | Daniel Waller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952948333 PECOS PAC ID: 7517391147 Enrollment ID: I20200107001409 |
| Provider Name | Alexa Leigh Silversides |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306506761 PECOS PAC ID: 8325430788 Enrollment ID: I20220113002814 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Il12, Llc 33900 Harper Ave, Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation Il12, Llc 4192 Il Route 83, Long Grove, IL 60047-9563 Ph: (847) 307-5010 |
Agnieszka Adamczyk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2569 Lincoln Ave, Long Grove, IL 60047 Phone: 847-381-8812 Fax: 847-381-6311 | |
Alexa Leigh Silversides, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4192 Il Route 83 Unit G, Long Grove, IL 60047 Phone: 847-307-5010 Fax: 847-307-5011 | |
Elizabeth Heller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4160 Route 83, Suite 240, Long Grove, IL 60047 Phone: 847-478-8761 | |
Dynamix Rehabilitation Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3206 Rfd, Long Grove, IL 60047 Phone: 847-452-3403 Fax: 847-745-0546 | |
Debra Levay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6234 Pine Tree Dr, Long Grove, IL 60047 Phone: 847-767-3127 | |
Abbey Rosenquist, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4192 Il Route 83 Unit G, Long Grove, IL 60047 Phone: 847-307-5010 Fax: 847-307-5011 |