| Miss Mary Elaine Mabayag Fabricante, PT, DPT | |
|
401 W Lake St, Northlake, IL 60164-2435 | |
| (708) 223-0494 | |
| Not Available |
| Full Name | Miss Mary Elaine Mabayag Fabricante |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 401 W Lake St, Northlake, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972730786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.014844 (Illinois) | Primary |
| 225100000X | Physical Therapist | 11184024 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Mary Elaine Mabayag Fabricante, PT, DPT 748 Clover Hill Ct, Elk Grove Village, IL 60007-7126 Ph: (773) 474-0858 | Miss Mary Elaine Mabayag Fabricante, PT, DPT 401 W Lake St, Northlake, IL 60164-2435 Ph: (708) 223-0494 |
Powerback Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 W Lake St, Northlake, IL 60164 Phone: 708-384-8073 | |
Jithin George, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 480 N Wolf Rd, Northlake, IL 60164 Phone: 708-562-0040 | |
Melissa Jacob, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 N Wolf Rd, Northlake, IL 60164 Phone: 630-850-0994 |