Provider Demographics
NPI:1760653562
Name:CEKO, WENDY (MPT)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:CEKO
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:BILEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:834 PINEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-7123
Mailing Address - Country:US
Mailing Address - Phone:708-283-9765
Mailing Address - Fax:708-283-9971
Practice Address - Street 1:4749 LINCOLN MALL DR
Practice Address - Street 2:SUITE 550
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2348
Practice Address - Country:US
Practice Address - Phone:708-283-9765
Practice Address - Fax:708-283-9971
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-016297225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist