| Brian Tong, DPT | |
|
2450 Wolf Rd Ste E, Westchester, IL 60154-5643 | |
| (708) 273-8410 | |
| (708) 409-1139 |
| Full Name | Brian Tong |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2450 Wolf Rd Ste E, Westchester, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649009473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070028512 (Illinois) | Primary |
| Provider Name | Orthomidwest, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Tong, DPT 2450 Wolf Rd Ste E, Westchester, IL 60154-5643 Ph: (877) 632-6637 | Brian Tong, DPT 2450 Wolf Rd Ste E, Westchester, IL 60154-5643 Ph: (708) 273-8410 |
Bailey Katherine Zinanni, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2450 Wolf Rd Ste E, Westchester, IL 60154 Phone: 877-632-6637 Fax: 708-409-5179 | |
Mrs. Nattinee Mary Ann Hilsen, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3075 Wolf Rd, Westchester, IL 60154 Phone: 708-223-8011 | |
Lauren M Carniello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2450 Wolf Rd Ste E, Westchester, IL 60154 Phone: 708-273-8410 | |
Drayton L Heather, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11204 31st St, Westchester, IL 60154 Phone: 708-492-1810 Fax: 708-492-1807 | |
Mary Ellen Bulow Giese, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Wolf Rd, Suite E, Westchester, IL 60154 Phone: 708-492-1810 Fax: 708-492-1807 | |
Amy Hemkendreis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11204 31st St, Westchester, IL 60154 Phone: 708-492-1810 Fax: 708-492-1807 | |
Joshua Robert Hrudicka, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2450 Wolf Rd Ste F, Westchester, IL 60154 Phone: 877-632-6637 Fax: 708-409-1139 |