| Sean K Fancher, DPT | |
|
19801 Governors Hwy, Flossmoor, IL 60422-4362 | |
| (708) 647-1500 | |
| (708) 647-1800 |
| Full Name | Sean K Fancher |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 19801 Governors Hwy, Flossmoor, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285002733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTL.0014926 (Colorado) | Primary |
| 225100000X | Physical Therapist | 070-021962 (Illinois) | Secondary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164620084 PECOS PAC ID: 2163339722 Enrollment ID: O20200204000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean K Fancher, DPT 1060 Plaza Dr, # 200, Highlands Ranch, CO 80129-2344 Ph: (303) 233-1223 | Sean K Fancher, DPT 19801 Governors Hwy, Flossmoor, IL 60422-4362 Ph: (708) 647-1500 |
Bridget Maureen Bates, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19801 Governors Hwy Ste 100, Flossmoor, IL 60422 Phone: 708-647-1500 Fax: 708-647-1800 | |
Ms. Ann Wilborn Jackson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18860 Hamlin Ave, Flossmoor, IL 60422 Phone: 708-922-0741 Fax: 708-922-0196 | |
Diana Macasaet, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1811 Hanover Ln, Flossmoor, IL 60422 Phone: 708-629-9724 | |
Ronald Rivera, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19550 Governors Hwy, Flossmoor, IL 60422 Phone: 708-915-8409 Fax: 708-915-8576 | |
Dr. Akilah J Townsend, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19550 Governors Hwy, Flossmoor, IL 60422 Phone: 708-915-8470 | |
The Mobile Mommy Pt, Pplc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1056 Sterling Ave, Flossmoor, IL 60422 Phone: 708-574-4671 |