| Ms Mae O Pedroso Provo, | |
|
6711 Pine Lake Dr, Tinley Park, IL 60477-4935 | |
| (630) 272-1788 | |
| (630) 679-0038 |
| Full Name | Ms Mae O Pedroso Provo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6711 Pine Lake Dr, Tinley Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225210073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mae O Pedroso Provo, 6711 Pine Lake Dr, Tinley Park, IL 60477-4935 Ph: () - | Ms Mae O Pedroso Provo, 6711 Pine Lake Dr, Tinley Park, IL 60477-4935 Ph: (630) 272-1788 |
Ptsir Industrial Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17236 Harlem Ave, Tinley Park, IL 60477 Phone: 708-633-8379 Fax: 708-633-8614 | |
Joshua Gruenke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17129 S. Harlem Avenue, Tinley Park, IL 60477 Phone: 630-967-2000 Fax: 708-745-5115 | |
Jessica Dejong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 17236 Harlem Ave, Tinley Park, IL 60477 Phone: 708-633-8379 | |
Patrick Becker, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17837 80th Ave, Tinley Park, IL 60477 Phone: 708-342-2500 Fax: 708-342-1454 | |
Ms. Lalitha R Karra, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17838 Harper Rd, Tinley Park, IL 60477 Phone: 708-532-5350 Fax: 815-550-8703 | |
Margaret L Leise, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16651 Harlem Ave, Tinley Park, IL 60477 Phone: 708-444-2838 Fax: 708-444-3031 | |
Elizabeth A Rodgers, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17129 S Harlem Ave, Ste B3, Tinley Park, IL 60477 Phone: 630-967-2000 Fax: 708-745-5115 |