Individual ProviderKimberly M SmithPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6000 W Touhy Ave, Chicago, IL 60646-1275(773) 774-4291(630) 575-6250PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly M Smith 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 ID1831447077Provider TypeIndividualFull NameSmith, Kimberly MCredentialPTGenderFemaleSole ProprietorNoEnumeration Date8/20/2012Last Updated4/19/2017Contact InformationPractice LocationPractice Address6000 W Touhy Ave, Chicago, IL 60646-1275Phone(773) 774-4291Fax(773) 774-4527Mailing LocationMailing Address625 Enterprise Dr, Oak Brook, IL 60523-8813Phone(630) 575-6250Fax(630) 575-7450Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070-019378Illinois