| Jene Fer Tabaco, | |
|
104 Woodland Court 3b, Carpentersville, IL 60110 | |
| (224) 258-5116 | |
| Not Available |
| Full Name | Jene Fer Tabaco |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 104 Woodland Court 3b, Carpentersville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104466168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.022890 (Illinois) | Primary |
| Provider Name | Rehab Maxx Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861711855 PECOS PAC ID: 3072842590 Enrollment ID: O20190909004111 |
| Mailing Address | Practice Location Address |
|---|---|
| Jene Fer Tabaco, 104 Woodland Court 3b, Carpentersville, IL 60110 Ph: (224) 258-5116 | Jene Fer Tabaco, 104 Woodland Court 3b, Carpentersville, IL 60110 Ph: (224) 258-5116 |
Rochelle Calayag Mitra, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2152 Randall Rd, Carpentersville, IL 60110 Phone: 248-858-5161 Fax: 847-515-4149 | |
Phillip Nelson Gonzalez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 62 S. Kennedy Dr., Carpentersville, IL 60110 Phone: 847-794-4561 Fax: 847-794-4560 | |
Bryan Paul Welder, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 S Western Ave Ste B, Carpentersville, IL 60110 Phone: 630-296-2222 | |
Sharon Rose Nemenzo Araneta, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2152 Randall Rd, Carpentersville, IL 60110 Phone: 798-006-6987 | |
Ms. Elizabeth Schmit Holmer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Randall Rd, Carpentersville, IL 60110 Phone: 847-844-7800 Fax: 847-783-0628 | |
Athletico, Ltd. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 62 S. Kennedy Dr., Carpentersville, IL 60110 Phone: 847-794-4531 Fax: 847-794-4530 |