Individual ProviderDon Jorge U PaguntalanPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5946 N Milwaukee Ave, Chicago, IL 60646-5424(773) 775-6637PECOS EnrollmentBased on the most recent information from CMS, provider Don Jorge U Paguntalan 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 ID1578500419Provider TypeIndividualFull NamePaguntalan, Don Jorge UCredentialP.T.GenderMaleSole ProprietorYesEnumeration Date5/31/2006Last Updated12/12/2008Contact InformationPractice LocationPractice Address5946 N Milwaukee Ave, Chicago, IL 60646-5424Phone(773) 775-6637Fax(773) 775-6638Mailing LocationMailing Address5946 N Milwaukee Ave, Chicago, IL 60646-5424Phone(773) 775-6637Fax(773) 775-6638Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070011656Illinois