Individual ProviderKim Maria GregoryPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4801 W Peterson Ave, Suite 606, Chicago, IL 60646-5713(773) 777-9100PECOS EnrollmentBased on the most recent information from CMS, provider Kim Maria Gregory 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 ID1639435118Provider TypeIndividualFull NameGregory, Kim MariaCredentialP.T.GenderFemaleSole ProprietorNoEnumeration Date4/9/2012Last Updated4/9/2012Contact InformationPractice LocationPractice Address4801 W Peterson Ave, Suite 606, Chicago, IL 60646-5713Phone(773) 777-9100Fax(773) 777-9101Mailing LocationMailing Address4452 N Ashland Ave, Apt 6f, Chicago, IL 60640-6964PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070018879Illinois