Active NPI
Michael L Edquiban, PT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1013958784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070011407
- Practice address
- 5946 N Milwaukee Avenue
1St Floor
Chicago, IL 60646-5424 - Phone
- (773) 775-6637
- Fax
- (773) 775-6638
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070011407 | IL | Primary |
Addresses
Primary practice location
5946 N Milwaukee Avenue
1St Floor
Chicago, IL 60646-5424
Mailing address
5946 N Milwaukee Avenue
1St Floor
Chicago, IL 60646-5424
Phone (773) 775-6637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070011407 | IL | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Chicago, IL
- NPI 1477507325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1013958784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5946 N MILWAUKEE AVENUE",
"address_2": "1ST FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465424",
"telephone_number": "773-775-6637",
"fax_number": "773-775-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5946 N MILWAUKEE AVENUE",
"address_2": "1ST FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465424",
"telephone_number": "773-775-6637",
"fax_number": "773-775-6638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDQUIBAN",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070011407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.