| Jillian Koren, | |
|
11360 Broadway, Crown Point, IN 46307-7197 | |
| (219) 600-4656 | |
| Not Available |
| Full Name | Jillian Koren |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 11360 Broadway, Crown Point, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184221277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.025456 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 05013959A (Indiana) | Primary |
| Provider Name | Lakeshore Bone & Joint Institute, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508853953 PECOS PAC ID: 3173500519 Enrollment ID: O20040702000362 |
| Provider Name | Mk Orthopedics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306470398 PECOS PAC ID: 4082045190 Enrollment ID: O20200505001751 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Koren, 11360 Broadway, Crown Point, IN 46307-7197 Ph: (219) 600-4656 | Jillian Koren, 11360 Broadway, Crown Point, IN 46307-7197 Ph: (219) 600-4656 |
Rolanda Walker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11450 South Broadway, Crown Point, IN 46307 Phone: 219-488-0157 Fax: 219-661-2502 | |
Glory Rehabilitation & Consultancy Services,inc., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9715 Monroe St, Crown Point, IN 46307 Phone: 219-689-3390 Fax: 219-226-0938 | |
Ben Strick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11055 Broadway Ste E, Crown Point, IN 46307 Phone: 219-401-4223 | |
Rachel Medina, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 856 N Superior Dr, Crown Point, IN 46307 Phone: 219-213-3942 | |
Lovellyn Sagsagat Aganon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11171 Ohio St, Crown Point, IN 46307 Phone: 219-869-1197 | |
Nathanael D Kloosterman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1841 E Summit St, Crown Point, IN 46307 Phone: 219-801-7777 | |
Accelerated Rehabilitation Centers Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 E 109th Ave, Crown Point, IN 46307 Phone: 219-662-2400 |