Individual ProviderArvie CalabazaronNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1355 Remington Rd, Suite H, Schaumburg, IL 60173-4832(630) 701-9009PECOS EnrollmentBased on the most recent information from CMS, provider Arvie Calabazaron 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 3 days ago.Profile DetailsProvider ID1104362755Provider TypeIndividualFull NameCalabazaron, ArvieCredentialAGNP-CGenderFemaleSole ProprietorYesEnumeration Date1/6/2017Last Updated4/18/2022Contact InformationPractice LocationPractice Address1355 Remington Rd, Suite H, Schaumburg, IL 60173-4832Phone(630) 701-9009FaxUnlisted FaxMailing LocationMailing Address1355 Remington Rd, Suite H, Schaumburg, IL 60173-4832Phone(630) 701-9009FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209015272Illinois