Individual ProviderCassidy WilliamsSurgeryAllopathic & Osteopathic PhysiciansPractice Address600 S Paulina St, Chicago, IL 60612-3806(312) 942-7100PECOS EnrollmentBased on the most recent information from CMS, provider Cassidy Williams 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 3 days ago.Profile DetailsProvider ID1578211140Provider TypeIndividualFull NameWilliams, CassidyCredentialDOGenderFemaleSole ProprietorNoEnumeration Date3/14/2022Last Updated9/20/2023Contact InformationPractice LocationPractice Address600 S Paulina St, Chicago, IL 60612-3806Phone(312) 942-7100FaxUnlisted FaxMailing LocationMailing Address600 S Paulina St, Chicago, IL 60612-3806PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125.082539IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense125.082539Illinois