Individual ProviderMichael Antonio Dela Cruz SalacupPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9238 Waukegan Rd, Morton Grove, IL 60053-2101(847) 663-5566(773) 610-7625PECOS EnrollmentBased on the most recent information from CMS, provider Michael Antonio Dela Cruz Salacup 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 ID1174953053Provider TypeIndividualFull NameSalacup, Michael Antonio Dela CruzCredentialRPTGenderMaleSole ProprietorNoEnumeration Date11/14/2013Last Updated11/14/2013Contact InformationPractice LocationPractice Address9238 Waukegan Rd, Morton Grove, IL 60053-2101Phone(847) 663-5566FaxUnlisted FaxMailing LocationMailing Address6721 W Irving Park Rd, Apt.1b, Chicago, IL 60634-2282Phone(773) 610-7625FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070.016226Illinois