Individual ProviderAlbene KokocinskiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1725 W Harrison, Suite 318, Chicago, IL 60612(312) 942-6647PECOS EnrollmentBased on the most recent information from CMS, provider Albene Kokocinski 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 ID1053346221Provider TypeIndividualFull NameKokocinski, AlbeneCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/12/2006Last Updated12/10/2014Contact InformationPractice LocationPractice Address1725 W Harrison, Suite 318, Chicago, IL 60612Phone(312) 942-6647Fax(312) 942-3740Mailing LocationMailing Address1725 W Harrison, Suite 318, Chicago, IL 60612Phone(312) 942-6647Fax(312) 942-3740Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense036-074437IllinoisProvider IdentifiersIDDescriptionIssuerID036074437DescriptionMedicaidIssuerUnlistedIllinoisID110205995DescriptionOtherIssuerRAILROAD MEDICAREID31623025DescriptionOtherIssuerBCBS