| Jherum Bardoquillo Espejo, PT, DPT | |
|
535 W Grant Ave Apt 4, Charleston, IL 61920-3276 | |
| (224) 266-7388 | |
| Not Available |
| Full Name | Jherum Bardoquillo Espejo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 535 W Grant Ave Apt 4, Charleston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467189407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070026385 (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Jherum Bardoquillo Espejo, PT, DPT 535 W Grant Aver, Apt 4, Charleston, IL 61920 Ph: (224) 266-7388 | Jherum Bardoquillo Espejo, PT, DPT 535 W Grant Ave Apt 4, Charleston, IL 61920-3276 Ph: (224) 266-7388 |
Ms. Therese Thea T. Monjardin, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 716 18th St, Charleston, IL 61920 Phone: 417-291-1655 | |
Empowerme Rehabilitation Illinois, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 738 18th St, Charleston, IL 61920 Phone: 844-502-7996 |