Individual ProviderSamuel Jess MezaSurgeryAllopathic & Osteopathic PhysiciansPractice Address1750 W Harrison St Ste 775, Chicago, IL 60612-3825(312) 942-5000PECOS EnrollmentBased on the most recent information from CMS, provider Samuel Jess Meza does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1235889148Provider TypeIndividualFull NameMeza, Samuel JessCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/24/2022Last Updated6/26/2022Contact InformationPractice LocationPractice Address1750 W Harrison St Ste 775, Chicago, IL 60612-3825Phone(312) 942-5000FaxUnlisted FaxMailing LocationMailing Address1750 W Harrison St Ste 775, Chicago, IL 60612-3825PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125.080451IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer