| Leslie Kanak, PT | |
|
211 E Hanover St, New Baden, IL 62265-1811 | |
| (618) 234-9705 | |
| (618) 257-0665 |
| Full Name | Leslie Kanak |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 211 E Hanover St, New Baden, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659699270 | NPI | - | NPPES |
| P00891171 | Other | IL | RR MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070016337 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Kanak, PT 211 E Hanover St, New Baden, IL 62265-1811 Ph: (618) 234-9705 | Leslie Kanak, PT 211 E Hanover St, New Baden, IL 62265-1811 Ph: (618) 234-9705 |
Jennifer Sipula, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 211 E Hanover St, New Baden, IL 62265 Phone: 618-588-4000 Fax: 618-588-4800 | |
Professional Therapy Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E Hanover St, New Baden, IL 62265 Phone: 618-588-4000 Fax: 618-588-4800 | |
Mrs. Michelle Kujawa, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E Hanover St, New Baden, IL 62265 Phone: 618-588-4000 Fax: 618-588-4800 |