| Diane Boquist, | |
|
2674 Washington St, Waukegan, IL 60085-4917 | |
| (847) 336-8089 | |
| (847) 336-8079 |
| Full Name | Diane Boquist |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2674 Washington St, Waukegan, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780088443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.020983 (Illinois) | Primary |
| Provider Name | Vital Rehabilitation Association, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407858483 PECOS PAC ID: 4789672924 Enrollment ID: O20040505000643 |
| 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 |
|---|---|
| Diane Boquist, 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-1980 | Diane Boquist, 2674 Washington St, Waukegan, IL 60085-4917 Ph: (847) 336-8089 |
Accelerated Rehabilitation Center Of Kenosha Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2674 Washington St, Waukegan, IL 60085 Phone: 847-336-8089 Fax: 847-336-8079 | |
Lovely Dawn Lustre Besario, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2222 14th St, Waukegan, IL 60085 Phone: 847-249-2400 | |
Kimberly M. Schmitt, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2674 Washington St, Waukegan, IL 60085 Phone: 847-336-8089 Fax: 847-336-8079 | |
Dr. Angel Figueroa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2674 Washington St, Waukegan, IL 60085 Phone: 847-336-8089 Fax: 847-336-8079 | |
Melania Torchalski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 967 N Green Bay Rd, Waukegan, IL 60085 Phone: 224-321-5237 | |
Kathleen Konjura, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 N Green Bay Rd, Waukegan, IL 60085 Phone: 847-662-1968 Fax: 847-249-8218 | |
Weston John Bartsch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Sheridan Rd, Waukegan, IL 60085 Phone: 224-303-1000 |