| Gina Brown, | |
|
12757 Western Ave, Blue Island, IL 60406-2155 | |
| (708) 293-8510 | |
| Not Available |
| Full Name | Gina Brown |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12757 Western Ave, Blue Island, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427442292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.021203 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 070021203 (Illinois) | Primary |
| Provider Name | Illinois Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033755566 PECOS PAC ID: 5193153450 Enrollment ID: O20200319001790 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Brown, 13301 Atlantic Dr, Homer Glen, IL 60491-5995 Ph: (630) 802-8019 | Gina Brown, 12757 Western Ave, Blue Island, IL 60406-2155 Ph: (708) 293-8510 |
Natalie Renee Casey, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1546 Water St, Blue Island, IL 60406 Phone: 815-370-4581 | |
Physical Therapy And Sports Injury Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-824-0515 Fax: 708-824-0517 | |
Jessica L. Scott, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-824-0515 Fax: 708-824-0516 | |
Mr. Ronald Frank Agrigento, P.T., A.T.C. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-824-0515 Fax: 708-824-0516 | |
Ptsir Industrial Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13114 Western Ave, Blue Island, IL 60406 Phone: 708-824-0515 Fax: 708-824-0517 | |
Mrs. Debra Witt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1546 Water St, Blue Island, IL 60406 Phone: 708-505-2298 |