Individual ProviderMark Anthony Real HidalgoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7436 Foster St, Morton Grove, IL 60053-1151(312) 330-0183PECOS EnrollmentBased on the most recent information from CMS, provider Mark Anthony Real Hidalgo 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 ID1992391353Provider TypeIndividualFull NameHidalgo, Mark Anthony RealCredentialPTGenderMaleSole ProprietorYesEnumeration Date12/18/2020Last Updated12/18/2020Contact InformationPractice LocationPractice Address7436 Foster St, Morton Grove, IL 60053-1151Phone(312) 330-0183FaxUnlisted FaxMailing LocationMailing Address7436 Foster St, Morton Grove, IL 60053-1151Phone(312) 330-0183FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense70020653Illinois