MEDICARE: EASTERN IOWA THERAPEUTICS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		IA

General Provider Information

NPI Number	:	1063807345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTERN IOWA THERAPEUTICS PC

Provider Business Mailing Address
First Line	:	625 ENTERPRISE DR
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-8813
Country	:	US
Telephone Number	:	630-575-6250
Fax Number	:	630-575-7450

Provider Business Practice Location Address
First Line	:	779 MORMON TREK BLVD
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52246-1812
Country	:	US
Telephone Number	:	319-248-2020
Fax Number	:	319-248-2021

Authorized Official
Title or Position	:	DIRECTOR OF CLINICAL SERVICES
Name	:	GERI COOK
Credential	:
Telephone Number	:	630-575-1940

Provider Enumeration Date	:	04/02/2015
Last Update Date	:	10/27/2016

Similar Medicare Providers

1699565788 — ALYSSA CELESTE SILVA PA
Practice Location Address:

767 MORMON TREK BLVD
IOWA CITY, IA
52246-1812

Practice Phone: 319-384-8333
Practice Fax: 319-467-8105

1336246909 — HARTIG DRUG CO CORP
Practice Location Address:

701 MORMON TREK BLVD
IOWA CITY, IA
52246-1812

Practice Phone: 319-338-5778
Practice Fax: 319-338-5852

1629397260 — ANNE M LOHAUS RPH
Practice Location Address:

701 MORMON TREK BLVD
IOWA CITY, IA
52246-1812

Practice Phone: 319-338-5559
Practice Fax:

1124347687 — MRS. SHARON MARIE RICKERTSEN PHARM. D
Practice Location Address:

701 MORMON TREK BLVD
IOWA CITY, IA
52246-1812

Practice Phone: 319-338-5559
Practice Fax:

1548526189 — STATE UNIVERSITY OF IOWA
Practice Location Address:

767 MORMON TREK BLVD
IOWA CITY, IA
52246-1812

Practice Phone: 319-384-8333
Practice Fax:

1801262167 — SANDI MICHELLE BASTON PA-C
Practice Location Address:

767 MORMON TREK BLVD
IOWA CITY, IA
52246-1812

Practice Phone: 319-384-8822
Practice Fax:

Directions to “EASTERN IOWA THERAPEUTICS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.