Jennifer L Konieczny, MSOT | |
1294 S Route 12, Fox Lake, IL 60020-1950 | |
(847) 973-9440 | |
Not Available |
Full Name | Jennifer L Konieczny |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1294 S Route 12, Fox Lake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265064745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Accelerated Rehabilitation Centers Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040224000455 |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
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Jennifer L Konieczny, MSOT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | Jennifer L Konieczny, MSOT 1294 S Route 12, Fox Lake, IL 60020-1950 Ph: (847) 973-9440 |
Allison Marie Kriegler, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442 | |
Brian Creeron, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442 | |
Michelle Renee Ponselle-mays, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 498 S Route 12, Suite C, Fox Lake, IL 60020 Phone: 847-587-3301 Fax: 847-587-3346 |