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Alyson Kemba Myers

Internal Medicine

Allopathic & Osteopathic Physicians

2150 West Harrison St, Chicago, IL 60612

PECOS Enrollment

This provider is enrolled in PECOS as ALYSON MYERS.

Based on the most recent information from CMS, provider Alyson Kemba Myers is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1538326509
Provider Type
Individual
Full Name
Myers, Alyson Kemba
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/19/2008
Last Updated
5/19/2008

Contact Information

Practice Location

2150 West Harrison St, Chicago, IL 60612

(312) 942-5000

Unlisted Fax

Mailing Location

2150 West Harrison St, Chicago, IL 60612

(312) 942-5000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125050034 Illinois
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 125050034 Illinois

Alyson Kemba Myers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Ahmed, Azazuddin A

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Warraich, Muhammad Sheharyar

Rimar, Sarah Elizabeth

Krantz, Anne Judith

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