| Miss Jenna M Fulks, PT, DPT | |
|
997 N Corporate Cir Ste B, Grayslake, IL 60030-7822 | |
| (847) 223-8001 | |
| (847) 986-3580 |
| Full Name | Miss Jenna M Fulks |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 997 N Corporate Cir Ste B, Grayslake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124754593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 070.026739 (Illinois) | Primary |
| Provider Name | Grayslake Rehabilitation And Complete Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982726683 PECOS PAC ID: 4183679400 Enrollment ID: O20050318000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Jenna M Fulks, PT, DPT 997 N Corporate Cir Ste B, Grayslake, IL 60030-7822 Ph: (847) 223-8001 | Miss Jenna M Fulks, PT, DPT 997 N Corporate Cir Ste B, Grayslake, IL 60030-7822 Ph: (847) 223-8001 |
Jacqueline Getty, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1860 E Belvidere Rd, Grayslake, IL 60030 Phone: 847-548-0360 Fax: 847-548-0716 | |
Anica Rebollar, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 S Seymour Ave Ste H, Grayslake, IL 60030 Phone: 224-252-2999 | |
Taylor Lynn Kramer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1475 E Belvidere Rd Ste 185, Grayslake, IL 60030 Phone: 224-271-6406 | |
Dr. Yannick Maxime Momotefo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Williamsburg Cir, Grayslake, IL 60030 Phone: 563-676-3316 | |
Mr. Edward J Galarza Jr., BS PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1585 Lupine Ct, Grayslake, IL 60030 Phone: 773-294-0647 | |
Mrs. Jenna R Cohn, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 997 N Corporate Circle, Suite B, Grayslake, IL 60030 Phone: 847-223-8001 Fax: 847-986-3580 | |
Sheila Posedel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1475 E Belvidere Rd Ste 185, Grayslake, IL 60030 Phone: 847-535-8833 |