| Anton Dominic Tamayo Urgello, DPT | |
|
4700 Gilbert Ave Ste 43a, Western Springs, IL 60558-1670 | |
| (708) 783-1044 | |
| (708) 783-1048 |
| Full Name | Anton Dominic Tamayo Urgello |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 9 Years |
| Location | 4700 Gilbert Ave Ste 43a, Western Springs, 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 |
|---|---|---|---|
| 1477063311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-027641 (Illinois) | Primary |
| 225100000X | Physical Therapist | 5387 (Oklahoma) | Secondary |
| 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 |
|---|---|
| Anton Dominic Tamayo Urgello, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 585-1980 | Anton Dominic Tamayo Urgello, DPT 4700 Gilbert Ave Ste 43a, Western Springs, IL 60558-1670 Ph: (708) 783-1044 |
Kelsey Egger, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4700 Gilbert Ave Ste 51, Western Springs, IL 60558 Phone: 708-387-1750 Fax: 708-387-1751 | |
Craig James Mawdsley, DPT, COMT, FAAOMPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 814 Hillgrove Ave, Western Springs, IL 60558 Phone: 708-505-3900 Fax: 708-505-4647 | |
Amy Waterwall, MPT, CEAS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Gilbert Ave, Suite 51, Western Springs, IL 60558 Phone: 708-387-1737 | |
Nathan D Rusk, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 814 Hillgrove Ave, Western Springs, IL 60558 Phone: 708-505-3900 Fax: 708-505-4647 | |
Chad Vander Zee, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4700 Gilbert Ave Ste 51, Western Springs, IL 60558 Phone: 708-387-1750 Fax: 708-387-1751 | |
Michelle Presslak, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4700 Gilbert Ave Ste 51, Western Springs, IL 60558 Phone: 708-387-1737 Fax: 708-387-1720 | |
Colin J Meister, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Gilbert Ave Ste 43a, Western Springs, IL 60558 Phone: 708-783-1044 |