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 |
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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 | Comprehensive Therapeutics Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
Mailing Address | Practice Location Address |
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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 | |
Tonya S. Hanner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5837 Park Dr, Charleston, IL 61920 Phone: 217-348-7700 Fax: 217-348-7704 | |
Empowerme Rehabilitation Illinois, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 738 18th St, Charleston, IL 61920 Phone: 844-502-7996 |