Individual ProviderTomasz Robert WasilewskiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4747 W Peterson Ave Ste 105, Chicago, IL 60646-5723(773) 725-8809PECOS EnrollmentBased on the most recent information from CMS, provider Tomasz Robert Wasilewski 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 2 days ago.Profile DetailsProvider ID1477046910Provider TypeIndividualFull NameWasilewski, Tomasz RobertCredentialPTGenderMaleSole ProprietorYesEnumeration Date6/10/2018Last Updated6/10/2018Contact InformationPractice LocationPractice Address4747 W Peterson Ave Ste 105, Chicago, IL 60646-5723Phone(773) 725-8809Fax(773) 725-4202Mailing LocationMailing Address4747 W Peterson Ave Ste 105, Chicago, IL 60646-5723Phone(773) 725-8809Fax(773) 725-4202Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070007589Illinois