Individual ProviderJesse MatsubaraPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9000 Waukegan Rd, Suite 100, Morton Grove, IL 60053-2127(847) 779-6050(847) 324-3976PECOS EnrollmentBased on the most recent information from CMS, provider Jesse Matsubara 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 yesterday at 12:57 PM.Profile DetailsProvider ID1972904050Provider TypeIndividualFull NameMatsubara, JesseGenderMaleSole ProprietorNoEnumeration Date9/9/2014Last Updated9/9/2014Contact InformationPractice LocationPractice Address9000 Waukegan Rd, Suite 100, Morton Grove, IL 60053-2127Phone(847) 779-6050FaxUnlisted FaxMailing LocationMailing Address900 Rand Rd, Suite 300, Des Plaines, IL 60016-2359Phone(847) 324-3976FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer