Individual ProviderRahneel MendozaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6289 N Cicero Ave, Unit B, Chicago, IL 60646-4917(773) 725-8025PECOS EnrollmentBased on the most recent information from CMS, provider Rahneel Mendoza 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 ID1881631679Provider TypeIndividualFull NameMendoza, RahneelCredentialP.T.GenderMaleSole ProprietorYesEnumeration Date6/1/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address6289 N Cicero Ave, Unit B, Chicago, IL 60646-4917Phone(773) 725-8025Fax(773) 725-8025Mailing LocationMailing Address6289 N Cicero Ave, Unit B, Chicago, IL 60646-4917Phone(773) 725-8025Fax(773) 725-8025Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerIllinois