Individual ProviderMichael L EdquibanPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5946 N Milwaukee Avenue, 1st Floor, Chicago, IL 60646-5424(773) 775-6637PECOS EnrollmentBased on the most recent information from CMS, provider Michael L Edquiban does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1013958784Provider TypeIndividualFull NameEdquiban, Michael LTitleMr.CredentialPTGenderMaleSole ProprietorYesEnumeration Date6/10/2006Last Updated9/20/2019Contact InformationPractice LocationPractice Address5946 N Milwaukee Avenue, 1st Floor, Chicago, IL 60646-5424Phone(773) 775-6637Fax(773) 775-6638Mailing LocationMailing Address5946 N Milwaukee Avenue, 1st Floor, Chicago, IL 60646-5424Phone(773) 775-6637Fax(773) 775-6638Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070011407Illinois