| Mary Clark Wyler, | |
|
830 S Addison Ave, Villa Park, IL 60181-2877 | |
| (630) 620-4433 | |
| (630) 620-1148 |
| Full Name | Mary Clark Wyler |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 830 S Addison Ave, Villa Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194832964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Easter Seals Dupage And The Fox Valley Region |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568460681 PECOS PAC ID: 7113963919 Enrollment ID: O20050701000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Clark Wyler, 830 S Addison Ave, Villa Park, IL 60181-2877 Ph: (630) 620-4433 | Mary Clark Wyler, 830 S Addison Ave, Villa Park, IL 60181-2877 Ph: (630) 620-4433 |
Leslie Kammes Cuevas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Dr. Grant P Lehman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 | |
Sammy Williams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Kayla Tieman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 | |
Laura A Hellier, Physical Therapist Medicare: Medicare Enrolled Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Alexa Marie Harper, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 | |
Laurie O'connell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 |