| Marc Daniel Grande, | |
|
1360 Winston Plz, Melrose Park, IL 60160-1508 | |
| (708) 483-0072 | |
| Not Available |
| Full Name | Marc Daniel Grande |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1360 Winston Plz, Melrose Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023849049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Pennsylvania) | Secondary |
| 225100000X | Physical Therapist | 070029210 (Illinois) | Primary |
| Provider Name | Ati Holdings, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20060727000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Daniel Grande, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Marc Daniel Grande, 1360 Winston Plz, Melrose Park, IL 60160-1508 Ph: (708) 483-0072 |
Mr. Jared Gibb, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1440 W North Ave, Suite 202, Melrose Park, IL 60160 Phone: 708-865-8600 Fax: 708-865-8661 | |
Janet Tweed, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 708-681-3000 | |
Giancarlo Bonifazi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1360 Winston Plz, Melrose Park, IL 60160 Phone: 708-483-0072 Fax: 708-551-3982 | |
Christine Garcia, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2225 W North Ave Ste I, Melrose Park, IL 60160 Phone: 708-345-8255 | |
Scottsdale Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Winston Plz, Physical Therapy Dept, Melrose Park, IL 60160 Phone: 708-343-2500 | |
Mrs. Tasha Renee Drake, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, Ll, Melrose Park, IL 60160 Phone: 708-938-7408 Fax: 708-938-7955 |