| Lake County Physical Therapy Llc | |
|
511 E Hawley St, Mundelein, IL 60060-2419 | |
| (847) 543-7604 | |
| (847) 543-7605 |
| Full Name | Lake County Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 511 E Hawley St, Mundelein, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851487581 | NPI | - | NPPES |
| 04922918 | Other | IL | BLUE CROSS BLUE SHIELD PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-006952 (Illinois) | Primary |
| Provider Name | Zubin S Tantra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417040411 PECOS PAC ID: 0042101214 Enrollment ID: I20050802000161 |
| Provider Name | Zenobia Z Tantra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326131327 PECOS PAC ID: 6901834803 Enrollment ID: I20050802000183 |
| Provider Name | Rebecca Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750480711 PECOS PAC ID: 8426068602 Enrollment ID: I20060503000011 |
| Provider Name | Joseph M Lynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952884256 PECOS PAC ID: 2961756788 Enrollment ID: I20181114002310 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Physical Therapy Llc 511 E Hawley St, Mundelein, IL 60060-2419 Ph: (847) 543-7604 | Lake County Physical Therapy Llc 511 E Hawley St, Mundelein, IL 60060-2419 Ph: (847) 543-7604 |
Cheryl Ann Blaz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Acorn Ln, Mundelein, IL 60060 Phone: 847-566-9221 | |
Personal Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 19071 W Lake View Ave, Mundelein, IL 60060 Phone: 916-260-6606 | |
Ronald A Dignadice Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1186 W Maple Ave, Mundelein, IL 60060 Phone: 847-970-7099 Fax: 847-970-7719 | |
Jason Greenwood, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Salceda Dr, Mundelein, IL 60060 Phone: 312-231-2270 | |
Clinician Staffing Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 W Maple Ave, Mundelein, IL 60060 Phone: 847-949-6200 | |
Katherine E Knight, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 511 E Hawley St, Ste 100, Mundelein, IL 60060 Phone: 847-970-7099 | |
Mr. Zubin S Tantra, PT, FAAOMPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 511 E Hawley St, Mundelein, IL 60060 Phone: 847-543-7604 Fax: 847-543-7605 |