| Jordan Thieme, | |
|
5230 S Blackstone Ave, Chicago, IL 60615-4106 | |
| (773) 256-1475 | |
| Not Available |
| Full Name | Jordan Thieme |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 5230 S Blackstone Ave, Chicago, 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 |
|---|---|---|---|
| 1972972578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070021886 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| California Luna Care Physical Therapy Pc | 9638427834 | 626 |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Thieme, 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: () - | Jordan Thieme, 5230 S Blackstone Ave, Chicago, IL 60615-4106 Ph: (773) 256-1475 |
Physical Therapy Clinic Of Chicago, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6135 W Belmont Ave, Chicago, IL 60634 Phone: 773-237-7827 Fax: 773-237-7826 | |
Ms. Carok Ann Gleason, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Nicholas E Crosby, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 W Chestnut St, Apartment 1604, Chicago, IL 60610 Phone: 773-961-5322 | |
Molly Swenson Murgatroyd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 S Promontory Dr, Chicago, IL 60649 Phone: 773-256-5776 | |
Melissa Strzelinski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Dr. Devon Beer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5645 W Addison St, Chicago, IL 60634 Phone: 773-794-7690 | |
Melfa Laroza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 W Division St, Physical Therapy Department, Chicago, IL 60622 Phone: 312-770-2000 Fax: 312-770-3477 |