| Stephen Moon, DPT | |
|
2200 Waukegan Rd, Glenview, IL 60025-1759 | |
| (847) 752-0006 | |
| Not Available |
| Full Name | Stephen Moon |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2200 Waukegan Rd, Glenview, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295459311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070026985 (Illinois) | Primary |
| Provider Name | Revolution Ptwl Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164766606 PECOS PAC ID: 7719115617 Enrollment ID: O20140123001222 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Moon, DPT 2200 Waukegan Rd, Glenview, IL 60025-1759 Ph: () - | Stephen Moon, DPT 2200 Waukegan Rd, Glenview, IL 60025-1759 Ph: (847) 752-0006 |
Ms. Daryl Federman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3703 West Lake Ave, Suite 200, Glenview, IL 60026 Phone: 847-998-1188 Fax: 847-998-8008 | |
Medcare Medical Group Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1873 Waukegan Rd, Glenview, IL 60025 Phone: 847-724-7600 Fax: 847-724-7693 | |
Mark Gore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 Ravine Way, Suite 100, Glenview, IL 60025 Phone: 847-724-4791 Fax: 847-998-6916 | |
Eunice Sison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3703 W Lake Ave Ste 200, Glenview, IL 60026 Phone: 847-998-1188 | |
Pain Relief Institute, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1859 Tower Dr, Glenview, IL 60026 Phone: 847-730-3276 Fax: 847-730-3976 | |
Morgan Hare, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Compass Rd, Glenview, IL 60026 Phone: 877-787-3422 | |
Anjali Patel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2200 Waukegan Rd, Glenview, IL 60025 Phone: 847-571-4848 |