Individual ProviderAhmad Abu HomoudInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1950 W. Polk Street, Professional Building 8th Floor, Chicago, IL 60612(312) 323-0198PECOS EnrollmentBased on the most recent information from CMS, provider Ahmad Abu Homoud 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 2 days ago.Profile DetailsProvider ID1568872273Provider TypeIndividualFull NameAbu Homoud, AhmadGenderMaleSole ProprietorNoEnumeration Date5/2/2014Last Updated9/26/2019Contact InformationPractice LocationPractice Address1950 W. Polk Street, Professional Building 8th Floor, Chicago, IL 60612Phone(312) 323-0198FaxUnlisted FaxMailing LocationMailing Address1969 W Ogden Ave Bldg 8th, Chicago, IL 60612-3765Phone(312) 323-0198FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense036143696IllinoisCode207RC0200XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense036143696IllinoisCode207RP1001XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense036143696Illinois