| Mrs Debra Kay Wenneman, PT | |
|
510 Auburn Dr Ste B, Island Lake, IL 60042-9105 | |
| (847) 487-4609 | |
| (474) 874-9178 |
| Full Name | Mrs Debra Kay Wenneman |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 45 Years |
| Location | 510 Auburn Dr Ste B, Island Lake, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639495930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070022281 (Illinois) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | 5501005988 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2174 |
| 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 |
|---|---|
| Mrs Debra Kay Wenneman, PT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Mrs Debra Kay Wenneman, PT 510 Auburn Dr Ste B, Island Lake, IL 60042-9105 Ph: (847) 487-4609 |
Center For Therapy And Wellness Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3907 Wood Creek Dr, Island Lake, IL 60042 Phone: 630-550-0898 | |
Accelerated Rehabilitation Center Of Kenosha Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Auburn Dr, Suite B, Island Lake, IL 60042 Phone: 847-487-4609 Fax: 847-487-4917 | |
Accelerated Rehabilitation Centers Of Kenosha Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Auburn Dr, Ste B, Island Lake, IL 60042 Phone: 847-487-4609 Fax: 847-487-4917 |