Individual ProviderMichael ProPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6000 W Touhy Ave, Suite 202, Chicago, IL 60646-1275(773) 744-4291PECOS EnrollmentBased on the most recent information from CMS, provider Michael Pro 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 2 days ago.Profile DetailsProvider ID1043459951Provider TypeIndividualFull NamePro, MichaelCredentialDPTGenderMaleSole ProprietorNoEnumeration Date2/17/2009Last Updated6/3/2009Contact InformationPractice LocationPractice Address6000 W Touhy Ave, Suite 202, Chicago, IL 60646-1275Phone(773) 744-4291Fax(773) 774-4527Mailing LocationMailing Address6000 W Touhy Ave, Suite 202, Chicago, IL 60646-1275Phone(773) 744-4291Fax(773) 774-4527Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070-016905Illinois