Individual ProviderAngelo Gregory VargasPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4801 W Peterson Ave Ste 606, Chicago, IL 60646-5728(800) 974-4378PECOS EnrollmentBased on the most recent information from CMS, provider Angelo Gregory Vargas 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 10:58 AM.Profile DetailsProvider ID1376059014Provider TypeIndividualFull NameVargas, Angelo GregoryCredentialPT, DPT, OCSGenderMaleSole ProprietorNoEnumeration Date12/18/2017Last Updated11/28/2023Contact InformationPractice LocationPractice Address4801 W Peterson Ave Ste 606, Chicago, IL 60646-5728Phone(800) 974-4378Fax(630) 515-1536Mailing LocationMailing Address24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711Phone(800) 974-4378Fax(630) 515-1536Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070.023202IllinoisCode2251X0800XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer