Individual ProviderJennifer KalilSurgeryAllopathic & Osteopathic PhysiciansPractice Address1650 W Harrison St Ste 466, Chicago, IL 60612(216) 844-1000PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Kalil 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 yesterday at 11:47 AM.Profile DetailsProvider ID1053705095Provider TypeIndividualFull NameKalil, JenniferCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/27/2015Last Updated2/5/2025Contact InformationPractice LocationPractice Address1650 W Harrison St Ste 466, Chicago, IL 60612Phone(216) 844-1000FaxUnlisted FaxMailing LocationMailing Address1650 W Harrison St Ste 466, Chicago, IL 60612-3800PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense43711OklahomaCode2086X0206XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense43711OklahomaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125072107Illinois