Alecsander Dutko, | |
2721 N Bootz Ave, Peoria, IL 61604-2801 | |
(815) 992-1939 | |
Not Available |
Full Name | Alecsander Dutko |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2721 N Bootz Ave, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659075109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Athletic & Therapeutic Institute Of Bourbonnais Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
Mailing Address | Practice Location Address |
---|---|
Alecsander Dutko, 2721 N Bootz Ave, Peoria, IL 61604-2801 Ph: () - | Alecsander Dutko, 2721 N Bootz Ave, Peoria, IL 61604-2801 Ph: (815) 992-1939 |
Michelle C Bayer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2338 W Van Winkle Way, Suite 3100, Peoria, IL 61615 Phone: 309-693-9189 Fax: 309-693-9946 | |
Jonathan R Sutter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-4109 | |
Matthew Schultz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-621-4111 | |
Molly D Lisenby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5009 N Executive Dr Ste B, Peoria, IL 61614 Phone: 309-839-8631 Fax: 855-579-3536 | |
Vanessa L Halstead, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-687-2035 | |
Mrs. Theresa L. Snedden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-692-8110 | |
Carol Sue Loughridge, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-631-1040 |