Individual ProviderRevathi RavindranPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7624 Beckwith Rd, Morton Grove, IL 60053-1022(847) 529-0691PECOS EnrollmentBased on the most recent information from CMS, provider Revathi Ravindran 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 ID1174365472Provider TypeIndividualFull NameRavindran, RevathiCredentialPTGenderFemaleSole ProprietorYesEnumeration Date6/10/2024Last Updated6/10/2024Contact InformationPractice LocationPractice Address7624 Beckwith Rd, Morton Grove, IL 60053-1022Phone(847) 529-0691FaxUnlisted FaxMailing LocationMailing Address7624 Beckwith Rd, Morton Grove, IL 60053-1022Phone(847) 529-0691FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070.028345Illinois