Keri Lee Denson | Chicago, IL • PECOS Search

Keri Lee Denson

Surgery

Allopathic & Osteopathic Physicians

1620 W Harrison St, Chicago, IL 60612-3801

(312) 942-5000 (312) 942-5495

PECOS Enrollment

Based on the most recent information from CMS, provider Keri Lee Denson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1497462691
Provider Type
Individual
Full Name
Denson, Keri Lee
Gender
Female

Sole Proprietor
No
Enumeration Date
10/28/2022
Last Updated
6/16/2023

Contact Information

Practice Location

1620 W Harrison St, Chicago, IL 60612-3801

Unlisted Fax

Mailing Location

1725 W Harrison St, Chicago, IL 60612-3841

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125.082714 Illinois