Individual ProviderAgustin Millevo SolaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6005 Dempster St, Morton Grove, IL 60053-2943(847) 470-1844PECOS EnrollmentBased on the most recent information from CMS, provider Agustin Millevo Sola 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 ID1639213218Provider TypeIndividualFull NameSola, Agustin MillevoCredentialP.T.GenderMaleSole ProprietorYesEnumeration Date2/16/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address6005 Dempster St, Morton Grove, IL 60053-2943Phone(847) 470-1844Fax(847) 470-1842Mailing LocationMailing Address6005 Dempster St, Morton Grove, IL 60053-2943Phone(847) 470-1844Fax(847) 470-1842Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerIllinois