| Dean Papadopoulos, DPT | |
|
1294 S Route 12, Fox Lake, IL 60020-1950 | |
| (847) 973-9440 | |
| (847) 973-9442 |
| Full Name | Dean Papadopoulos |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1294 S Route 12, Fox Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194744995 | NPI | - | NPPES |
| IL6237020 | Other | IL | MEDICARE |
| IL6697018 | Other | IL | MEDICARE |
| 1619908 | Other | IL | BCBS IL GROUP |
| 568080 | Other | IL | MEDICARE GROUP NUMBER |
| 568150 | Other | IL | MEDICARE GROUP NUMBER |
| 567700 | Other | IL | MEDICARE GOUP NUMBER |
| IL6238020 | Other | IL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-014551 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 13522 (Wisconsin) | Primary |
| Provider Name | Paxxon Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Dean Papadopoulos, DPT Greenfield Rehab Agency, 3360 Gateway Rd. Suite 100, Brookfield, WI 53045 Ph: (262) 923-7101 | Dean Papadopoulos, DPT 1294 S Route 12, Fox Lake, IL 60020-1950 Ph: (847) 973-9440 |
Accelerated Rehabilitation Center Of Kenosha Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442 | |
Kirsten Nicole Schreiner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Lilac Ave, Fox Lake, IL 60020 Phone: 847-973-8800 | |
Crystal C Scholten, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 | |
Nicholas Kaczkowski, PT, DPT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 145 Sayton Rd Ste F, Fox Lake, IL 60020 Phone: 847-629-5536 Fax: 847-529-5163 | |
Mrs. Michelle Perry Shamash, OTRL CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 145 Sayton Rd Ste F, Fox Lake, IL 60020 Phone: 847-629-5536 Fax: 847-629-5163 | |
Jacob Brown, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 |