| Phillip Nelson Gonzalez, DPT | |
|
62 S. Kennedy Dr., Carpentersville, IL 60110 | |
| (847) 794-4561 | |
| (847) 794-4560 |
| Full Name | Phillip Nelson Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 16 Years |
| Location | 62 S. Kennedy Dr., Carpentersville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275847311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 070017911 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Athletico Ltd |
|---|---|
| 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 |
|---|---|
| Phillip Nelson Gonzalez, DPT 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-6250 | Phillip Nelson Gonzalez, DPT 62 S. Kennedy Dr., Carpentersville, IL 60110 Ph: (847) 794-4561 |
Rochelle Calayag Mitra, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2152 Randall Rd, Carpentersville, IL 60110 Phone: 248-858-5161 Fax: 847-515-4149 | |
Jene Fer Tabaco, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 Woodland Court 3b, Carpentersville, IL 60110 Phone: 224-258-5116 | |
Bryan Paul Welder, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 27 S Western Ave Ste B, Carpentersville, IL 60110 Phone: 630-296-2222 | |
Sharon Rose Nemenzo Araneta, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2152 Randall Rd, Carpentersville, IL 60110 Phone: 798-006-6987 | |
Ms. Elizabeth Schmit Holmer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Randall Rd, Carpentersville, IL 60110 Phone: 847-844-7800 Fax: 847-783-0628 | |
Athletico, Ltd. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 62 S. Kennedy Dr., Carpentersville, IL 60110 Phone: 847-794-4531 Fax: 847-794-4530 |