Individual ProviderLaura KeprtaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4200 W Peterson Ave, Suite 102, Chicago, IL 60646-6074(773) 545-6885(847) 733-0832PECOS EnrollmentBased on the most recent information from CMS, provider Laura Keprta 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 ID1710096383Provider TypeIndividualFull NameKeprta, LauraGenderFemaleSole ProprietorNoEnumeration Date8/29/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4200 W Peterson Ave, Suite 102, Chicago, IL 60646-6074Phone(773) 545-6885FaxUnlisted FaxMailing LocationMailing Address136 Florence Ave, Evanston, IL 60202-3764Phone(847) 733-0832FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID70009697DescriptionOtherIssuerLICENSE#Illinois