| Kristin Marie Lally, MPT | |
|
313 N Weber Rd, Bolingbrook, IL 60490-1569 | |
| (630) 771-0850 | |
| Not Available |
| Full Name | Kristin Marie Lally |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 16 Years |
| Location | 313 N Weber Rd, Bolingbrook, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033421649 | NPI | - | NPPES |
| P00875221 | Other | IL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletic And Therapeutic Institute Of Bourbonnais, Llc | 4183692577 | 137 |
| Provider Name | Midwest Orthopedic Consultants Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457373953 PECOS PAC ID: 8022911031 Enrollment ID: O20040128000682 |
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Marie Lally, MPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Kristin Marie Lally, MPT 313 N Weber Rd, Bolingbrook, IL 60490-1569 Ph: (630) 771-0850 |
Jennifer N Warning, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 Fax: 630-378-9169 | |
Samuel Almoguera Tambago Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2224 Misty Creek Trl, Bolingbrook, IL 60490 Phone: 714-417-6155 | |
Erika Lauren Elder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Remington Blvd, Bolingbrook, IL 60440 Phone: 630-296-2223 | |
Annie Malone, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 | |
Douglas Bradley, PT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-771-0850 Fax: 630-771-0852 | |
Patricia Victoria D. Castro- Ladra, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 863 W Briarcliff Rd, Bolingbrook, IL 60440 Phone: 630-935-3920 |