Individual ProviderAakash PuttaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1901 W Harrison Street, Chicago, IL 60612-3174(312) 864-6000PECOS EnrollmentBased on the most recent information from CMS, provider Aakash Putta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1043731060Provider TypeIndividualFull NamePutta, AakashGenderMaleSole ProprietorNoEnumeration Date6/29/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address1901 W Harrison Street, Chicago, IL 60612-3174Phone(312) 864-6000FaxUnlisted FaxMailing LocationMailing Address1901 W Harrison St, Chicago, IL 60612-3714Phone(312) 864-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125070059Illinois