| Jaelin Mankins, | |
|
370 N Weber Rd, Bolingbrook, IL 60440-1307 | |
| (331) 253-6511 | |
| Not Available |
| Full Name | Jaelin Mankins |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 370 N Weber Rd, Bolingbrook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871218586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Paxxon Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063784148 PECOS PAC ID: 8325959554 Enrollment ID: O20120507000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaelin Mankins, 609 Mendota Ln, Romeoville, IL 60446-1292 Ph: () - | Jaelin Mankins, 370 N Weber Rd, Bolingbrook, IL 60440-1307 Ph: (331) 253-6511 |
Jatona Harris, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 | |
Eric Isip Magat, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 573 Pinebrook Dr, Bolingbrook, IL 60490 Phone: 630-863-1557 | |
Judith Micek, MOT/L,CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 Fax: 630-378-9169 | |
Natalie Flynn Blackley, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Park Meadow Ln, Bolingbrook, IL 60440 Phone: 217-473-4151 | |
Kelly Supataraporn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 388 Twin Creeks Dr, Bolingbrook, IL 60440 Phone: 630-453-0134 | |
Andres J Olivares, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Brighton Ln, Bolingbrook, IL 60440 Phone: 773-397-7948 | |
Natalie D Loewe, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 Nottingham Dr, Bolingbrook, IL 60440 Phone: 630-335-5983 |