| Lockport Pain Management, Ltd | |
|
400 Summit Dr, Lockport, IL 60441-3241 | |
| (815) 838-9441 | |
| Not Available |
| Full Name | Lockport Pain Management, Ltd |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 400 Summit Dr, Lockport, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114385986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Margaret L Leise |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053404368 PECOS PAC ID: 2668439639 Enrollment ID: I20041213000173 |
| Provider Name | Shannon Jane Yundt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194845511 PECOS PAC ID: 0345345104 Enrollment ID: I20070424000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Lockport Pain Management, Ltd 400 Summit Dr, Lockport, IL 60441-3241 Ph: (815) 838-9441 | Lockport Pain Management, Ltd 400 Summit Dr, Lockport, IL 60441-3241 Ph: (815) 838-9441 |
Theracore, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 16622 W 159th St, Suite 503, Lockport, IL 60441 Phone: 815-838-5070 | |
The Legacy Ranch Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2705 S Farrell Rd, Lockport, IL 60441 Phone: 630-601-8920 | |
Dodge Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 16109 S Farrell Rd, Lockport, IL 60441 Phone: 847-848-4011 | |
Angela S Thiel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1065 E 9th St, Lockport, IL 60441 Phone: 815-588-1366 Fax: 815-588-2010 | |
Kelly A Shaw, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1147 E 9th St, Lockport, IL 60441 Phone: 815-834-9901 Fax: 815-834-9904 | |
Amy Goebbert, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 16622 W 159th St, Unit 503, Lockport, IL 60441 Phone: 630-204-2977 |