Madeline R Jendra (NPI# 1255988606, PAC ID# 6204168602) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1255988606 |
PAC ID by PECOS | 6204168602 |
Professional Enrollment ID | I20191105001475 |
Full Name | Madeline R Jendra |
Organization Legal Name | OCONNOR FOUNDATION |
Address |
8434 Corcoran Rd Willow Springs IL 60480-1666 |
Phone Number | 7084670657 |
Gender | F |
Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2019 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 6103097522 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 7084670657 | OCONNOR FOUNDATION |
Organization Legal Name | OCONNOR FOUNDATION |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maryleen K Jones | Physical Therapy | Oconnor Foundation | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 |
Mirab M Shah | Physical Therapy | Oconnor Foundation | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 |
Street Address |
8434 CORCORAN RD |
City | WILLOW SPRINGS |
State | IL |
Zip | 60480-1666 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maryleen K Jones | Physical Therapy | Oconnor Foundation | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 |
Mirab M Shah | Physical Therapy | Oconnor Foundation | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard V Hunn | Chiropractic | Norridge Chiropractic Clinic Ltd | 8240 S Wolf Rd, Willow Springs, IL 60480-1084 |
Frank J Martusciello | Chiropractic | Norridge Chiropractic Clinic Ltd | 8240 S Wolf Rd, Willow Springs, IL 60480-1084 |
City | WILLOW SPRINGS |
Zip Code | 60480 |
Specialty | PHYSICAL THERAPY |
City + Specialty | WILLOW SPRINGS + 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.