Mr. Christopher Glen Ilacqua, MD
Mr. Christopher Glen Ilacqua, MD is a Physical Medicine and Rehabilitation in Southbridge, Massachusetts. Graduated from Tufts University School of Medicine in 2015, 11 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Pennsylvania.
- Years since qualifying
- 11
- Trained at
- Tufts University School of Medicine
- Licensed in
- MA, PA
- In the registry since
- 2009
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
100 S StSouthbridge, MA 01550-4051
Phone: (508) 909-8590
Fax: (508) 909-8589
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 123 Summer Street, Worcester, MA 01608 — (508) 363-6208
- 3401 N Broad St Lowr Level, Philadelphia, PA 19140-5103 — (215) 707-7020
- 1800 Lombard St, Philadelphia, PA 19146 — (215) 893-2600
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 1017464 (MA) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 2015 (MA) |
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence MD467051 (PA) |
Record details
| NPI number | 1528291127 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 29, 2009 |
| Last updated in NPPES | April 15, 2024 |
| Certification date | April 15, 2024 |
| Mailing address | Po Box 415348, Boston, MA 02241-5348 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Umass Memorial Medical Group Inc — 2467 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Southbridge
-
Michael J. Gray, MD
100 S St, Southbridge, MA 01550-4051 · (508) 765-9771