| Mr Michael Thomas Rodden, PT | |
|
50 S Milwaukee Ave, Suite 201, Lake Villa, IL 60046 | |
| (847) 265-3491 | |
| (847) 265-3498 |
| Full Name | Mr Michael Thomas Rodden |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 50 S Milwaukee Ave, Lake Villa, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699862508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Sobe Innovative Rehabilitation Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164800595 PECOS PAC ID: 4789994336 Enrollment ID: O20151110002827 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Thomas Rodden, PT 542 W Sweet Clover Rd, Round Lake, IL 60073 Ph: (847) 546-4293 | Mr Michael Thomas Rodden, PT 50 S Milwaukee Ave, Suite 201, Lake Villa, IL 60046 Ph: (847) 265-3491 |
Mrs. Teresa Marie Beckman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 S Milwaukee Ave, Suite 201 Community Rehabilitation, Lake Villa, IL 60046 Phone: 847-265-3491 Fax: 847-265-3498 | |
Kellsey L Rommelfanger, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 695 Park Ave, Lake Villa, IL 60046 Phone: 630-368-1776 Fax: 773-967-1112 | |
Rachel Michels, Physical Therapist Medicare: Medicare Enrolled Practice Location: 695 Park Ave, Lake Villa, IL 60046 Phone: 630-368-1776 | |
Amber Gore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 89 Cedar Ave, Lake Villa, IL 60046 Phone: 847-265-7300 Fax: 847-265-7301 | |
Rasheed Mirza Baig, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18808 W Cottage Ave, Lake Villa, IL 60046 Phone: 847-274-8469 Fax: 847-223-4086 | |
Colleen Skotnicki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23408 W Apollo Ct, Lake Villa, IL 60046 Phone: 847-856-9014 | |
Kalpana Patel, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 695 Park Ave, Lake Villa, IL 60046 Phone: 630-368-1776 Fax: 773-967-1112 |