Christine Marie Pong (NPI# 1689807505, PAC ID# 4486917838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1689807505 |
| PAC ID by PECOS | 4486917838 |
| Professional Enrollment ID | I20180417001613 |
| Full Name | Christine Marie Pong |
| Organization Legal Name | INDEPENDENCE PHYSICAL THERAPY PC |
| Address |
1397 Main St A Crete IL 60417-2951 |
| Phone Number | 7083678050 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9032247093 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1397 Main St A, Crete, IL 60417-2951 | 7083678050 | INDEPENDENCE PHYSICAL THERAPY PC |
| Organization Legal Name | INDEPENDENCE PHYSICAL THERAPY PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Gerk | Physical Therapy | Independence Physical Therapy PC | 1397 Main St A, Crete, IL 60417-2951 |
| Daniel G Gerk | Physical Therapy | Independence Physical Therapy PC | 1397 Main St A, Crete, IL 60417-2951 |
| Street Address |
1397 MAIN ST A |
| City | CRETE |
| State | IL |
| Zip | 60417-2951 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Gerk | Physical Therapy | Independence Physical Therapy PC | 1397 Main St A, Crete, IL 60417-2951 |
| Daniel G Gerk | Physical Therapy | Independence Physical Therapy PC | 1397 Main St A, Crete, IL 60417-2951 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce W Smit | Podiatry | 24560 Kings Rd, Kings Road Prof Bldg, Crete, IL 60417 | |
| Jessica Rae Delgado | Nurse Practitioner | Midwest Post Acute Care LLC | 1251 E Richton Rd, Crete, IL 60417-1623 |
| Suresh C Shah | Emergency Medicine | 1251 E Richton Rd, Crete, IL 60417-1623 | |
| Asra B Khan | Obstetrics/gynecology | Specialty Physicians of Illinois LLC | 1251 E Richton Rd, Crete, IL 60417-1623 |
| Judith A. Dygdon | Psychologist, Clinical | 1230 Main St, Crete, IL 60417-2145 | |
| Paula Thigpen | Clinical Social Worker | 2518 E Creekwood Ct, Crete, IL 60417-2603 | |
| Paul A Veld | Optometry | 1080 E Exchange St, Crete, IL 60417-3454 |
| City | CRETE |
| Zip Code | 60417 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CRETE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Christine Marie Pong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.