| Brian Creeron, OTD, OTR/L | |
|
1294 S Route 12, Fox Lake, IL 60020-1950 | |
| (847) 973-9440 | |
| (847) 973-9442 |
| Full Name | Brian Creeron |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 6 Years |
| Location | 1294 S Route 12, Fox Lake, 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 |
|---|---|---|---|
| 1356946826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Paxxon Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063784148 PECOS PAC ID: 8325959554 Enrollment ID: O20120507000412 |
| 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 |
|---|---|
| Brian Creeron, OTD, OTR/L 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Brian Creeron, OTD, OTR/L 1294 S Route 12, Fox Lake, IL 60020-1950 Ph: (847) 973-9440 |
Allison Kriegler, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442 | |
Boyana Scekic, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 S Us Highway 12, Fox Lake, IL 60020 Phone: 847-973-9440 | |
Michelle Renee Ponselle-mays, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 498 S Route 12, Suite C, Fox Lake, IL 60020 Phone: 847-587-3301 Fax: 847-587-3346 |