| Ismael Munoz, | |
|
975 N Randall Rd, Elgin, IL 60123-2336 | |
| (847) 717-1910 | |
| (630) 657-1254 |
| Full Name | Ismael Munoz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 975 N Randall Rd, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356151286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Ismael Munoz, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Ismael Munoz, 975 N Randall Rd, Elgin, IL 60123-2336 Ph: (847) 717-1910 |
Mrs. Linda Sue Roherty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-695-5904 | |
Tiffany Brodersen, PT, DPT, CLT-LANA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2320 Royal Blvd, Elgin, IL 60123 Phone: 224-783-6128 | |
Uriel Favela, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2320 Royal Blvd, Elgin, IL 60123 Phone: 224-783-6128 | |
Miss Ria Esperanza De Leon Jimenez, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3125 Heritage Pkwy, Elgin, IL 60124 Phone: 630-873-0108 | |
Casandra L Holmes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1550 N Randall Rd, Elgin, IL 60123 Phone: 815-398-9491 Fax: 815-381-7498 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 795 Summit St, Unit A, Elgin, IL 60120 Phone: 630-575-1980 | |
Joy Dianne Roldan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 819 S Randall Rd # Unitsbc, Elgin, IL 60123 Phone: 800-974-4378 Fax: 630-515-1536 |