| Uriel Favela, | |
|
2320 Royal Blvd, Elgin, IL 60123-4717 | |
| (224) 783-6128 | |
| Not Available |
| Full Name | Uriel Favela |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2320 Royal Blvd, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003562315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Illinois Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033755566 PECOS PAC ID: 5193153450 Enrollment ID: O20200319001790 |
| Mailing Address | Practice Location Address |
|---|---|
| Uriel Favela, 2320 Royal Blvd, Elgin, IL 60123-4717 Ph: (224) 783-6128 | Uriel Favela, 2320 Royal Blvd, Elgin, IL 60123-4717 Ph: (224) 783-6128 |
Mrs. Linda Sue Roherty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-695-5904 | |
Tiffany Brodersen, PT, DPT, CLT-LANA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2320 Royal Blvd, Elgin, IL 60123 Phone: 224-783-6128 | |
Miss Ria Esperanza De Leon Jimenez, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3125 Heritage Pkwy, Elgin, IL 60124 Phone: 630-873-0108 | |
Casandra L Holmes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1550 N Randall Rd, Elgin, IL 60123 Phone: 815-398-9491 Fax: 815-381-7498 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 795 Summit St, Unit A, Elgin, IL 60120 Phone: 630-575-1980 | |
Joy Dianne Roldan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 819 S Randall Rd # Unitsbc, Elgin, IL 60123 Phone: 800-974-4378 Fax: 630-515-1536 |