Individual ProviderAmanda M RaffertyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6759 Dempster St, Morton Grove, IL 60053-2607(847) 470-9995(630) 575-6200PECOS EnrollmentBased on the most recent information from CMS, provider Amanda M Rafferty 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 yesterday at 12:57 PM.Profile DetailsProvider ID1093935850Provider TypeIndividualFull NameRafferty, Amanda MCredentialPTGenderFemaleSole ProprietorNoEnumeration Date4/26/2007Last Updated12/7/2015Contact InformationPractice LocationPractice Address6759 Dempster St, Morton Grove, IL 60053-2607Phone(847) 470-9995FaxUnlisted FaxMailing LocationMailing Address625 Enterprise Dr, Oak Brook, IL 60523-8813Phone(630) 575-6200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070012940Illinois