Individual ProviderMark PayaresPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6000 W Touhy Ave Ste 202, Chicago, IL 60646-1248(773) 774-4291(630) 575-1980PECOS EnrollmentBased on the most recent information from CMS, provider Mark Payares 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 today at 11:02 AM.Profile DetailsProvider ID1205019304Provider TypeIndividualFull NamePayares, MarkGenderMaleSole ProprietorNoEnumeration Date12/11/2007Last Updated4/21/2016Contact InformationPractice LocationPractice Address6000 W Touhy Ave Ste 202, Chicago, IL 60646-1248Phone(773) 774-4291Fax(773) 774-4527Mailing LocationMailing Address625 Enterprise Dr, Oak Brook, IL 60523-8813Phone(630) 575-1980FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070016136Illinois