Individual ProviderCharles ObialaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4801 W Peterson Ave Ste 314, Chicago, IL 60646-5726(773) 777-4947(847) 324-3976PECOS EnrollmentBased on the most recent information from CMS, provider Charles Obiala 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 3 days ago.Profile DetailsProvider ID1427406537Provider TypeIndividualFull NameObiala, CharlesGenderMaleSole ProprietorNoEnumeration Date5/31/2016Last Updated4/11/2018Contact InformationPractice LocationPractice Address4801 W Peterson Ave Ste 314, Chicago, IL 60646-5726Phone(773) 777-4947Fax(773) 777-7998Mailing LocationMailing Address900 Rand Rd, Suite 300, Des Plaines, IL 60016-2359Phone(847) 324-3976Fax(847) 929-1154Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer