| Mr Mark Anthony Lago, PT | |
|
5601 W Monee Manhattan Rd Ste 115, Monee, IL 60449-8866 | |
| (708) 314-7761 | |
| Not Available |
| Full Name | Mr Mark Anthony Lago |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5601 W Monee Manhattan Rd Ste 115, Monee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730511460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.019839 (Illinois) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Anthony Lago, PT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200 | Mr Mark Anthony Lago, PT 5601 W Monee Manhattan Rd Ste 115, Monee, IL 60449-8866 Ph: (708) 314-7761 |
Athletico, Ltd. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5601 W Monee Manhattan Rd Ste 115, Monee, IL 60449 Phone: 708-314-7761 Fax: 708-314-7762 | |
Mr. David J Kooyenga, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25622 S Governors Hwy, Monee, IL 60449 Phone: 708-235-0144 Fax: 708-235-0145 | |
New Life Physical Therapy And Rehabilitation P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 25622 S Governors Hwy, Monee, IL 60449 Phone: 708-235-0144 Fax: 708-235-0145 | |
Ms. Jaime Vander Zanden, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5601 W Monee Manhattan Rd Ste 115, Monee, IL 60449 Phone: 708-314-7761 Fax: 708-314-7762 |