| Jacob D Darragh, PT, ATC | |
|
2555 Lincoln Hwy, Suite 102, Olympia Fields, IL 60461-1936 | |
| (708) 481-2323 | |
| (708) 481-3311 |
| Full Name | Jacob D Darragh |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 18 Years |
| Location | 2555 Lincoln Hwy, Olympia Fields, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871749275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-015787 (Illinois) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 096-001739 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Dupage Medical Group Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20040116000661 |
| 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 |
|---|---|
| Jacob D Darragh, PT, ATC 205 W Wacker Dr, Suite 1020, Chicago, IL 60606-1216 Ph: (312) 640-0329 | Jacob D Darragh, PT, ATC 2555 Lincoln Hwy, Suite 102, Olympia Fields, IL 60461-1936 Ph: (708) 481-2323 |
Nicole Stotts, PT, DPT, GCS, CEEAA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 S Crawford Ave, Inpatient Therapy Services, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Daniel Rodda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-852-2540 | |
Brianna Fields, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Mr. Daniel G. Gerk, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20060 Governors Dr, Olympia Fields, IL 60461 Phone: 708-283-1789 | |
Jason Carvajal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Julie A Momsen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20060 Governors Dr, Olympia Fields, IL 60461 Phone: 708-283-1789 | |
Nestor Diaz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 Fax: 708-503-3221 |