Keli J Dhom, PT is a
Physical Therapist based in Dieterich, Illinois. Keli J Dhom is licensed to practice in Illinois (license number 70015440) and her current practice location is
19460 E 1150th Ave, Dieterich, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 821-0542.
NPI number for Keli J Dhom is 1528134608 and her current mailing address is 19460 E 1150th Ave, Dieterich, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528134608.
Healthcare Provider's Profile
| Full Name | Keli J Dhom |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 19460 E 1150th Ave, Dieterich, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528134608
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 10/29/2020
Medical Identifiers
Medical identifiers for Keli J Dhom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528134608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 70015440 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keli J Dhom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Keli J Dhom, PT 19460 E 1150th Ave, Dieterich, IL 62424-2150 Ph: (217) 821-0542 | Keli J Dhom, PT 19460 E 1150th Ave, Dieterich, IL 62424-2150 Ph: (217) 821-0542 |
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