| Brady John Mcwilliams, DPT | |
|
902 E Oak St Ste 3, Fairbury, IL 61739-1301 | |
| (815) 692-6200 | |
| (815) 692-6202 |
| Full Name | Brady John Mcwilliams |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 902 E Oak St Ste 3, Fairbury, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649894759 | NPI | - | NPPES |
| 0446631 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12910 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | (Illinois) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ati Holdings Of Arizona Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Brady John Mcwilliams, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Brady John Mcwilliams, DPT 902 E Oak St Ste 3, Fairbury, IL 61739-1301 Ph: (815) 692-6200 |
Dawn Phillips, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 215 W Locust St, Fairbury, IL 61739 Phone: 815-692-3941 | |
Turning Point Therapies Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 215 W Locust St, Fairbury, IL 61739 Phone: 815-692-2270 Fax: 815-692-2280 | |
Mr. William Lee Noonan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 215 W Locust St, Fairbury, IL 61739 Phone: 815-692-2270 Fax: 815-692-2280 |