Individual ProviderKrzysztof KulagaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4747 W Peterson Ave, Suite 105, Chicago, IL 60646-5712(773) 725-8809PECOS EnrollmentBased on the most recent information from CMS, provider Krzysztof Kulaga 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 ID1164544060Provider TypeIndividualFull NameKulaga, KrzysztofTitleMrs.CredentialP.T.GenderMaleSole ProprietorNoEnumeration Date4/4/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address4747 W Peterson Ave, Suite 105, Chicago, IL 60646-5712Phone(773) 725-8809Fax(773) 725-4202Mailing LocationMailing Address4747 W Peterson Ave, Suite 105, Chicago, IL 60646-5712Phone(773) 725-8809Fax(773) 725-4202Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerIllinoisProvider IdentifiersIDDescriptionIssuerID1621716DescriptionOtherIssuerBCBS PROVIDERIllinois