Individual ProviderAugusto Guerra AuteaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8909 Belleforte Ave, Morton Grove, IL 60053-2018(555) 555-5555(561) 496-7993PECOS EnrollmentBased on the most recent information from CMS, provider Augusto Guerra Autea 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 ID1497001580Provider TypeIndividualFull NameAutea, Augusto GuerraTitleMr.CredentialPTGenderMaleSole ProprietorYesEnumeration Date7/26/2012Last Updated6/9/2016Contact InformationPractice LocationPractice Address8909 Belleforte Ave, Morton Grove, IL 60053-2018Phone(555) 555-5555FaxUnlisted FaxMailing LocationMailing Address16089 Poppyseed Cir Unit 2008, Delray Beach, FL 33484-6314Phone(561) 496-7993FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070.019057IllinoisProvider IdentifiersIDDescriptionIssuerID30000776232ADescriptionOtherIssuerSTATE IDENTIFICATIONIllinois