Individual ProviderMatthew C MctaguePhysical 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 Matthew C Mctague 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 ID1427787167Provider TypeIndividualFull NameMctague, Matthew CCredentialDPTGenderMaleSole ProprietorNoEnumeration Date6/8/2022Last Updated10/11/2022Contact InformationPractice LocationPractice Address6000 W Touhy Ave Ste 202, Chicago, IL 60646-1248Phone(773) 774-4291Fax(773) 774-4527Mailing LocationMailing Address2122 York Rd Ste 300, Oak Brook, IL 60523-1925Phone(630) 575-1980FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070-026981IllinoisCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerIllinois