| Mrs Jill Burnett Lisk, PT | |
|
4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 | |
| (618) 242-1100 | |
| (618) 248-5148 |
| Full Name | Mrs Jill Burnett Lisk |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4110 S Water Tower Pl, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982662920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070-008290 (Illinois) | Primary |
| Provider Name | Rci (wrs), Llc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417561655 PECOS PAC ID: 5092624510 Enrollment ID: O20120406000287 |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1942475488 PECOS PAC ID: 9537076401 Enrollment ID: O20180808002894 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jill Burnett Lisk, PT 4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 Ph: (618) 242-1100 | Mrs Jill Burnett Lisk, PT 4110 S Water Tower Pl, Mount Vernon, IL 62864-6544 Ph: (618) 242-1100 |
Mary L. Stedelin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 Fax: 618-204-5487 | |
Terri S Garrett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864 Phone: 618-204-5497 | |
Mrs. Cheryl Jeanne Uy Rushing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-241-8595 Fax: 618-241-8759 | |
James M Mulvaney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1007 S 42nd St, Suite 5, Mount Vernon, IL 62864 Phone: 618-244-1163 Fax: 618-244-1522 | |
Raquel A Minor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-731-7120 | |
Hayden Klockenga, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 | |
Mrs. Susan Christine Portner, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-8887 Fax: 618-244-5537 |