Individual ProviderMelissa GoczalkSurgeryAllopathic & Osteopathic PhysiciansPractice Address1750 W Harrison St Ste 775, Chicago, IL 60612-3825(312) 942-5474PECOS EnrollmentBased on the most recent information from CMS, provider Melissa Goczalk 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 ID1114553021Provider TypeIndividualFull NameGoczalk, MelissaGenderFemaleSole ProprietorNoEnumeration Date3/23/2020Last Updated4/8/2025Contact InformationPractice LocationPractice Address1750 W Harrison St Ste 775, Chicago, IL 60612-3825Phone(312) 942-5474FaxUnlisted FaxMailing LocationMailing Address1750 W Harrison St Ste 775, Chicago, IL 60612-3825PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125076932IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer