Mrs Kristen B Kruse, PT | |
1440 W North Ave, Suite 202, Melrose Park, IL 60160-1422 | |
(708) 865-8600 | |
(708) 765-8661 |
Full Name | Mrs Kristen B Kruse |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1440 W North Ave, Melrose Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609984244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Illinois) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristen B Kruse, PT 500 Park Blvd, Suite Ll80c, Itasca, IL 60143-3121 Ph: (630) 285-8007 | Mrs Kristen B Kruse, PT 1440 W North Ave, Suite 202, Melrose Park, IL 60160-1422 Ph: (708) 865-8600 |
Mr. Jared Gibb, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1440 W North Ave, Suite 202, Melrose Park, IL 60160 Phone: 708-865-8600 Fax: 708-865-8661 | |
Janet Tweed, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 708-681-3000 | |
Marc Daniel Grande, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1360 Winston Plz, Melrose Park, IL 60160 Phone: 708-483-0072 | |
Giancarlo Bonifazi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1360 Winston Plz, Melrose Park, IL 60160 Phone: 708-483-0072 Fax: 708-551-3982 | |
Christine Garcia, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2225 W North Ave Ste I, Melrose Park, IL 60160 Phone: 708-345-8255 | |
Scottsdale Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Winston Plz, Physical Therapy Dept, Melrose Park, IL 60160 Phone: 708-343-2500 | |
Mrs. Tasha Renee Drake, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, Ll, Melrose Park, IL 60160 Phone: 708-938-7408 Fax: 708-938-7955 |