| Julie M Leidecker Ltd | |
|
586 William R Latham Sr Dr Ste 6b, Bourbonnais, IL 60914-2338 | |
| (815) 935-0540 | |
| Not Available |
| Full Name | Julie M Leidecker Ltd |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 586 William R Latham Sr Dr Ste 6b, Bourbonnais, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023239142 | NPI | - | NPPES |
| 1447301643 | Other | IL | J LEIDECKER NPI |
| 1861543068 | Other | IL | C ANDERSON NPI |
| 341746853001 | Other | IL | C ANDERSON |
| 358701965001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Julie M Leidecker Ltd 586 William R Latham Sr Dr Ste 6b, Bourbonnais, IL 60914-2338 Ph: (815) 935-0540 | Julie M Leidecker Ltd 586 William R Latham Sr Dr Ste 6b, Bourbonnais, IL 60914-2338 Ph: (815) 935-0540 |
Zachary Erb, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Mooney Dr, Suite 5, Bourbonnais, IL 60914 Phone: 815-933-7224 Fax: 815-933-7225 | |
Caitlin Renkin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1275 N Convent St, Bourbonnais, IL 60914 Phone: 815-936-1855 Fax: 815-936-6097 | |
Steven Reiter, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 21 Heritage Dr Ste 101, Bourbonnais, IL 60914 Phone: 815-937-8220 | |
Accelerated Rehabilitation Centers, Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 N Convent St, Ste 6, Bourbonnais, IL 60914 Phone: 815-928-8357 Fax: 815-929-0492 | |
Renee Michelle Spanburg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 N Convent St, Suite 6, Bourbonnais, IL 60914 Phone: 815-928-8357 Fax: 815-929-0492 | |
Diana Lebran, Physical Therapist Medicare: Medicare Enrolled Practice Location: 512 Edgebrook Dr, Bourbonnais, IL 60914 Phone: 815-922-4607 |