Individual ProviderRhett Enriquez BanzonPhysical 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 Rhett Enriquez Banzon 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 3 days ago.Profile DetailsProvider ID1679741995Provider TypeIndividualFull NameBanzon, Rhett EnriquezCredentialPTGenderMaleSole ProprietorYesEnumeration Date2/20/2008Last 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 ProvidersLicense070011345Illinois