Individual ProviderMaria Teresa OdekePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8633 Austin Ave, Morton Grove, IL 60053-29681224374451PECOS EnrollmentBased on the most recent information from CMS, provider Maria Teresa Odeke 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 ID1598439812Provider TypeIndividualFull NameOdeke, Maria TeresaGenderFemaleSole ProprietorNoEnumeration Date8/2/2021Last Updated8/2/2021Contact InformationPractice LocationPractice Address8633 Austin Ave, Morton Grove, IL 60053-2968Phone1224374451FaxUnlisted FaxMailing LocationMailing Address8633 Austin Ave, Morton Grove, IL 60053-2968Phone1224374451FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070.0202512Illinois