| Ketki Halvadia, LPT | |
|
912 Northwest Hwy, Ste. #206, Fox River Grove, IL 60021-1925 | |
| (847) 516-8187 | |
| (847) 516-8235 |
| Full Name | Ketki Halvadia |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 912 Northwest Hwy, Fox River Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942375530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-013600 (Illinois) | Primary |
| Provider Name | Active Life Physical Therapy Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1326421074 PECOS PAC ID: 9234448945 Enrollment ID: O20151020002867 |
| Mailing Address | Practice Location Address |
|---|---|
| Ketki Halvadia, LPT 205 W Wacker Dr, Suite 1020, Chicago, IL 60606-1216 Ph: (312) 640-0329 | Ketki Halvadia, LPT 912 Northwest Hwy, Ste. #206, Fox River Grove, IL 60021-1925 Ph: (847) 516-8187 |
Mrs. Jurga Napolitano, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8816 Gardner Rd, Fox River Grove, IL 60021 Phone: 224-623-1578 Fax: 224-655-6699 | |
Schuldt Pro Healthcare, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 746 Northwest Hwy, Fox River Grove, IL 60021 Phone: 847-462-9591 | |
Mrs. Linda A Yasukawa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 922 Route 22, Fox River Grove, IL 60021 Phone: 847-462-0555 |