Unknown Individual – Physical Therapist, NPI 1306856380
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1256, West Boughton Road, Barbers Corners, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604406568
Phone: (630) 378-9420
Fax: (630) 378-9169
Type: Location
1071, East Roosevelt Road, Wheaton, DuPage County, Illinois, 60187, United States
WHEATON, IL 601876609
Phone: (630) 682-1785
Fax: (630) 682-1854
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60440)
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