Provider Demographics
NPI:1881831733
Name:REMOCAL, MARY ROSE RAMOS (PT, DPT)
Entity type:Individual
Prefix:
First Name:MARY ROSE
Middle Name:RAMOS
Last Name:REMOCAL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MARY ROSE
Other - Middle Name:RAMOS
Other - Last Name:ALEJO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6730 W HIGGINS AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656
Mailing Address - Country:US
Mailing Address - Phone:773-205-8911
Mailing Address - Fax:773-205-6481
Practice Address - Street 1:6413 N KINZUA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646
Practice Address - Country:US
Practice Address - Phone:773-763-1212
Practice Address - Fax:773-205-6481
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070015238225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist