Individual ProviderPriya A ChackoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5520 Lincoln Ave, Morton Grove, IL 60053-3416(847) 583-9800PECOS EnrollmentBased on the most recent information from CMS, provider Priya A Chacko 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 ID1184138687Provider TypeIndividualFull NameChacko, Priya ACredentialDPTGenderFemaleSole ProprietorNoEnumeration Date11/21/2017Last Updated4/29/2020Contact InformationPractice LocationPractice Address5520 Lincoln Ave, Morton Grove, IL 60053-3416Phone(847) 583-9800FaxUnlisted FaxMailing LocationMailing Address5520 Lincoln Ave, Morton Grove, IL 60053-3416PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070023432Illinois