Adam C Detoni (NPI# 1598311649, PAC ID# 6103154596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1598311649 |
| PAC ID by PECOS | 6103154596 |
| Professional Enrollment ID | I20190822003219 |
| Full Name | Adam C Detoni |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Address |
1240 Route 34 Oswego IL 60543-8939 |
| Phone Number | 6309786218 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4183692577 |
| Number of Group Practice Members | 241 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1240 Route 34, Oswego, IL 60543-8939 | 6309786218 | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Physicians | 256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob W Comstock | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1296 W Boughton Rd, Bolingbrook, IL 60490-1554 |
| Allison Anne Zak | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 2340 W Indian Trl, Suite 120, Aurora, IL 60506-1570 |
| Mark Whitsitt | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 11535 Us Hwy 14, Woodstock, IL 60098-7227 |
| Samantha Marconi | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 3080 Caton Farm Rd, Unit 17, Joliet, IL 60435-1455 |
| Shelby Osterberg | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 12112 S Route 47, Huntley, IL 60142-9619 |
| Brock Wayne Athey | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1300 E Route 40, Casey, IL 62420-3126 |
| Matthew Windmoeller | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1521 E Riverside Blvd, Suite 2, Loves Park, IL 61111-4771 |
| Mandi Miller | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 605 E Southline Rd, Tuscola, IL 61953-2053 |
| Shannon P Gengenbacher | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 3082 Caton Farm Rd, Joliet, IL 60435-1455 |
| Mirette Mikhail | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 336 -338 W Ogden Ave, Downers Grove, IL 60515-3141 |
| Street Address |
1240 ROUTE 34 |
| City | OSWEGO |
| State | IL |
| Zip | 60543-8939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett Fahnstrom | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1240 Route 34, Oswego, IL 60543-8939 |
| Aimee Pepple | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1240 Route 34, Oswego, IL 60543-8939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinderpal S Nandra | Internal Medicine | Nandra Family Practice, Ltd. | 1041 Station Dr, Oswego, IL 60543-5007 |
| Mukhtar S Nandra | General Practice | Nandra Family Practice, Ltd. | 1041 Station Dr, Oswego, IL 60543-5007 |
| Kristen A Accardo | Chiropractic | Balanced Body Chiropractic, LLC | 1231 Farmington Lakes Dr, Suite 101, Oswego, IL 60543-5131 |
| Catherine Chu | Family Medicine | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Heidi A Solache | Clinical Social Worker | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Mark E Peterson | Internal Medicine | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Stephanie R Parks | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Peter T Rasmussen | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Marie E Garcia | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Raquel T Robles | Obstetrics/gynecology | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Find all physicians in zip 60543 | |||
| City | OSWEGO |
| Zip Code | 60543 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | OSWEGO + PHYSICAL 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.