Individual ProviderSarai ShacklettPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6759 Dempster St, Morton Grove, IL 60053-2607(847) 470-9995(312) 640-0329PECOS EnrollmentBased on the most recent information from CMS, provider Sarai Shacklett 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 ID1376893917Provider TypeIndividualFull NameShacklett, SaraiCredentialPTGenderFemaleSole ProprietorNoEnumeration Date9/11/2012Last Updated9/11/2012Contact InformationPractice LocationPractice Address6759 Dempster St, Morton Grove, IL 60053-2607Phone(847) 470-9995FaxUnlisted FaxMailing LocationMailing Address205 W Wacker Dr, Suite 1020, Chicago, IL 60606-1216Phone(312) 640-0329FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070019355Illinois