Eduardo Cortez

Individual provider Active NPI Physical Therapist · Countryside, IL

NPI 1124935697 · NPPES record last updated Aug 27, 2026

Key facts

NPI
1124935697
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070.040196 (IL)
Practice address
100 W Plainfield Rd
Countryside, IL 60525-2869
Phone
(708) 588-0833
NPI assigned
Aug 27, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.040196 IL Yes

Addresses

Primary practice location

100 W Plainfield Rd
Countryside, IL 60525-2869

Mailing address

3030 N Sawyer Ave
Chicago, IL 60618-6807

Other practice location 1

2701 W 36th Pl
Chicago, IL 60632-1616
Phone (708) 588-0833

Other providers in Countryside, IL

All providers in Countryside, IL · Physical Therapist in Illinois

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.