| William Ombao, | |
|
16170 Kingsport Rd, Orland Park, IL 60467-5602 | |
| (708) 349-6544 | |
| Not Available |
| Full Name | William Ombao |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 16170 Kingsport Rd, Orland Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669580288 | NPI | - | NPPES |
| 3640571036046701 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Integrated Therapy Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477507325 PECOS PAC ID: 8123084779 Enrollment ID: O20041222000773 |
| Mailing Address | Practice Location Address |
|---|---|
| William Ombao, 16170 Kingsport Rd, Orland Park, IL 60467-5602 Ph: (708) 349-6544 | William Ombao, 16170 Kingsport Rd, Orland Park, IL 60467-5602 Ph: (708) 349-6544 |
Mrs. Barbara Joan Castro, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11737 Camelot Ln, Orland Park, IL 60467 Phone: 708-226-1546 | |
Jill Lenzen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13125 S La Grange Rd, Orland Park, IL 60462 Phone: 708-671-1971 Fax: 708-671-1973 | |
Edwin Flores, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16170 Kingsport Rd, Orland Park, IL 60467 Phone: 708-349-6544 | |
Mrs. Jessica Cristina Burchett, P.T., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11215 W 159th St, Orland Park, IL 60467 Phone: 773-938-8500 Fax: 773-938-8501 | |
Justine Anna Kwak, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14225 S 95th Ave Ste 453, Orland Park, IL 60462 Phone: 708-787-0952 Fax: 708-787-0958 | |
James Frederick Margas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14700 S La Grange Rd, Orland Park, IL 60462 Phone: 708-873-8822 Fax: 708-873-8823 | |
Mark Phillip Pastrick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15430 West Ave, Orland Park, IL 60462 Phone: 708-923-5050 Fax: 708-226-2528 |