Individual ProviderLea G MagallanesPhysical 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 Lea G Magallanes 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 ID1821380569Provider TypeIndividualFull NameMagallanes, Lea GCredentialPTGenderFemaleSole ProprietorYesEnumeration Date5/13/2011Last Updated5/24/2011Contact InformationPractice LocationPractice Address5946 N Milwaukee Ave, Chicago, IL 60646-5424Phone(773) 775-6637FaxUnlisted FaxMailing LocationMailing Address5946 N Milwaukee Ave, Chicago, IL 60646-5424Phone(773) 775-6637FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070016821IllinoisProvider IdentifiersIDDescriptionIssuerID070016821DescriptionOtherIssuerLICENSE NUMBERIllinois