| Damilola Jane Olatunbosun, | |
|
900 E Walnut St Ste 1, Carbondale, IL 62901-3132 | |
| (618) 319-7540 | |
| (618) 319-7542 |
| Full Name | Damilola Jane Olatunbosun |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 900 E Walnut St Ste 1, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134996424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-027954 (Illinois) | Primary |
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
| 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 |
|---|---|
| Damilola Jane Olatunbosun, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Damilola Jane Olatunbosun, 900 E Walnut St Ste 1, Carbondale, IL 62901-3132 Ph: (618) 319-7540 |
Dr. Steve Middleton, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 S Glenview Dr, Carbondale, IL 62901 Phone: 618-559-8196 | |
Cody B Doerflein, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 W Freeman St, Carbondale, IL 62901 Phone: 812-491-1307 Fax: 618-549-0226 | |
Kristy Travis, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1237 E Main St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Marcel De Wit, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 E Walnut St Ste 1, Carbondale, IL 62901 Phone: 618-319-7540 | |
Mrs. Lorraine M Scimeca, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 W Jackson St, Suite Ll02, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0403 | |
Ms. Michelle Alonzo Discaya, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 West Jackson St., Memorial Hospital Of Carbondale, Carbondale, IL 62901 Phone: 618-529-0516 Fax: 618-529-0403 |