Michelle Perry Shamash (NPI# 1114961026, PAC ID# 5698756591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1114961026 |
| PAC ID by PECOS | 5698756591 |
| Professional Enrollment ID | I20040621000938 |
| Full Name | Michelle Perry Shamash |
| Organization Legal Name | SPORTS PHYSICAL THERAPISTS OF FOX LAKE LLC |
| Address |
145 Sayton Rd Suite F Fox Lake IL 60020-1773 |
| Phone Number | 8476295536 |
| Gender | F |
| Credential | OT |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 5092091801 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 145 Sayton Rd, Suite F, Fox Lake, IL 60020-1773 | 8476295536 | SPORTS PHYSICAL THERAPISTS OF FOX LAKE LLC |
| 7137 236th Ave, Suite 101, Salem, WI 53168-8975 | 2629255060 | SPORTS PHYSICAL THERAPISTS LLC |
| Organization Legal Name | SPORTS PHYSICAL THERAPISTS OF FOX LAKE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Leitza | Physical Therapy | Sports Physical Therapists of Fox Lake LLC | 145 Sayton Rd, Suite F, Fox Lake, IL 60020-1773 |
| Tracy M Benson | Occupational Therapy | Sports Physical Therapists of Fox Lake LLC | 145 Sayton Rd, Suite F, Fox Lake, IL 60020-1773 |
| Street Address |
145 SAYTON RD SUITE F |
| City | FOX LAKE |
| State | IL |
| Zip | 60020-1773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Leitza | Physical Therapy | Sports Physical Therapists of Fox Lake LLC | 145 Sayton Rd, Suite F, Fox Lake, IL 60020-1773 |
| Tracy M Benson | Occupational Therapy | Sports Physical Therapists of Fox Lake LLC | 145 Sayton Rd, Suite F, Fox Lake, IL 60020-1773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina M Tews | Chiropractic | 7229 State Park Rd, Fox Lake, IL 60020-1027 | |
| Dennis Lewinson | Optometry | 2 W Grand Ave, Suite 107, Fox Lake, IL 60020-1250 | |
| Ramesh B Vemuri | Psychiatry | Mathers Recovery LLC | 81 E Grand Ave, Fox Lake, IL 60020-1557 |
| Kristin L Fell | Clinical Social Worker | Mathers Recovery LLC | 81 E Grand Ave, Fox Lake, IL 60020-1557 |
| Mark J Mohapp | Clinical Social Worker | Mathers Recovery LLC | 81 E Grand Ave, Fox Lake, IL 60020-1557 |
| Karyn G Herndon | Obstetrics/gynecology | Midwest Center for Women's Healthcare, Ltd | 1000 Ctr St, Suite 700, Evanston, IL 60020-1769 |
| Narissa J Hoprasart | Obstetrics/gynecology | Midwest Center for Women's Healthcare, Ltd | 1000 Ctr St, Suite 700, Evanston, IL 60020-1769 |
| Melissa A Keene | Obstetrics/gynecology | Midwest Center for Women's Healthcare, Ltd | 1000 Ctr St, Suite 700, Evanston, IL 60020-1769 |
| Erin C Conway | Psychologist, Clinical | Integrative Group Psychological Services, LLC | 16 Lilac Ave, Fox Lake, IL 60020-1803 |
| Holly Kay Garlitz | Clinical Social Worker | Illinois Geriatric Psychological Services PC | 16 Lilac Ave, Fox Lake, IL 60020-1803 |
| Find all physicians in zip 60020 | |||
| City | FOX LAKE |
| Zip Code | 60020 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | FOX LAKE + OCCUPATIONAL THERAPY |
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| 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.