| Ma Lourdes Chan, | |
|
4 Walker Ave, Apt. 209, Clarendon Hills, IL 60514-1351 | |
| (708) 927-2290 | |
| Not Available |
| Full Name | Ma Lourdes Chan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4 Walker Ave, Clarendon Hills, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568908432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070019131 (Illinois) | Primary |
| Provider Name | Integrated Therapy Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477507325 PECOS PAC ID: 8123084779 Enrollment ID: O20041222000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Ma Lourdes Chan, 4 Walker Ave, Apt. 209, Clarendon Hills, IL 60514-1351 Ph: (708) 927-2290 | Ma Lourdes Chan, 4 Walker Ave, Apt. 209, Clarendon Hills, IL 60514-1351 Ph: (708) 927-2290 |
Joshua Casillas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 229 Burlington Ave, Clarendon Hills, IL 60514 Phone: 630-866-1074 Fax: 630-866-1075 | |
Simply Home Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 419 Ridge Ave, Clarendon Hills, IL 60514 Phone: 773-241-0112 | |
Benjamin Pieczynski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 229 Burlington Ave, Clarendon Hills, IL 60514 Phone: 630-866-1074 | |
Judith English Johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 55th St, Clarendon Hills, IL 60514 Phone: 630-468-2776 | |
Margaret Kehoe Kruhly, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5632 Virginia Ave, Clarendon Hills, IL 60514 Phone: 224-836-0121 | |
Christine Novak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: The Birches Assisted Living, 215 55th Street, Clarendon Hills, IL 60514 Phone: 630-364-4495 |