Kyle Boudreau (NPI# 1336594282, PAC ID# 3971893504) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1336594282 |
| PAC ID by PECOS | 3971893504 |
| Professional Enrollment ID | I20160609001193 |
| Full Name | Kyle Boudreau |
| Organization Legal Name | PANOPTIC PHYSICAL THERAPY LLC |
| Address |
1511 N Convent St Suite 1000 Bourbonnais IL 60914-1497 |
| Phone Number | 8154015102 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3577806199 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1511 N Convent St, Suite 1000, Bourbonnais, IL 60914-1497 | 8154015102 | PANOPTIC PHYSICAL THERAPY LLC |
| Organization Legal Name | PANOPTIC PHYSICAL THERAPY LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris Kaminski | Physical Therapy | Panoptic Physical Therapy LLC | 1535 Lake Cook Rd, Suite 306, Northbrook, IL 60062-1452 |
| Brittany N Kaminski | Physical Therapy | Panoptic Physical Therapy LLC | 1535 Lake Cook Rd, Suite 306, Northbrook, IL 60062-1452 |
| Street Address |
1511 N CONVENT ST SUITE 1000 |
| City | BOURBONNAIS |
| State | IL |
| Zip | 60914-1497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Grumish | Chiropractic | 40 Briarcliff Professional Ctr, Bourbonnais, IL 60914 | |
| Casey A Moauro | Obstetrics/gynecology | Presence Healthcare Services | 1 Provena Way, Bourbonnais, IL 60914 |
| Brian Egan | Vascular Surgery | Presence Healthcare Services | 1 Provena Way, Bourbonnais, IL 60914 |
| Michael S Schroer | Chiropractic | 40 Briarcliff Professional Ctr, Bourbonnais, IL 60914 | |
| Katrina Schabacker | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Nikhil Bhargava | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Jamie Slade | Pathology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| David B Sutherland | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Daniel Errampalli | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Thomas L Oconnor | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Find all physicians in zip 60914 | |||
| City | BOURBONNAIS |
| Zip Code | 60914 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BOURBONNAIS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kyle Boudreau.
| 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.