| Michael J Leitza, PT | |
|
417 E Il Route 173 Unit 101, Antioch, IL 60002-9407 | |
| (800) 974-4378 | |
| (630) 515-1536 |
| Full Name | Michael J Leitza |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 28 Years |
| Location | 417 E Il Route 173 Unit 101, Antioch, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336185198 | NPI | - | NPPES |
| 4045700 | Medicaid | WI | |
| 11791524 | Other | WI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 10024-24 (Wisconsin) | Secondary |
| 225100000X | Physical Therapist | 070011119 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dpt Holdings Llc | 4688679293 | 171 |
| Provider Name | Dpt Holdings Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20061003000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Leitza, PT 24014 W Renwick Rd Ste F, Plainfield, IL 60544-8708 Ph: (800) 974-4378 | Michael J Leitza, PT 417 E Il Route 173 Unit 101, Antioch, IL 60002-9407 Ph: (800) 974-4378 |
Daniel F Werner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 543 Orchard St, Antioch, IL 60002 Phone: 847-239-3565 | |
Mr. Michael W Silenzi, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 543 Orchard Str, Antioch, IL 60002 Phone: 847-395-6100 Fax: 847-395-6162 | |
Ma Gina D Augusto, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 Sanderling Ct, Antioch, IL 60002 Phone: 847-395-7973 Fax: 847-395-7973 | |
Mr. Larry V Stone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 543 Orchard St, Antioch, IL 60002 Phone: 847-395-6100 Fax: 847-395-6162 | |
Mrs. Jill A Stone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 543 Orchard St, Antioch, IL 60002 Phone: 847-395-6100 Fax: 847-395-6162 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1122 Main St., Antioch, IL 60002 Phone: 847-395-0321 Fax: 847-395-0298 |