Individual ProviderHanseok OhPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4055 W Peterson Ave Ste 103, Chicago, IL 60646-6183(773) 993-0366PECOS EnrollmentBased on the most recent information from CMS, provider Hanseok Oh 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 ID1669808820Provider TypeIndividualFull NameOh, HanseokTitleDr.CredentialDPTGenderMaleSole ProprietorYesEnumeration Date9/19/2013Last Updated9/11/2023Contact InformationPractice LocationPractice Address4055 W Peterson Ave Ste 103, Chicago, IL 60646-6183Phone(773) 993-0366Fax(773) 993-0240Mailing LocationMailing Address4055 W Peterson Ave Ste 103, Chicago, IL 60646-6183Phone(773) 993-0366Fax(773) 993-0240Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070.020275Illinois