Individual ProviderMonet WoolfolkSurgeryAllopathic & Osteopathic PhysiciansPractice Address1620 W Harrison St, Chicago, IL 60612-3801(312) 942-5000(720) 335-1946PECOS EnrollmentBased on the most recent information from CMS, provider Monet Woolfolk 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 ID1629810395Provider TypeIndividualFull NameWoolfolk, MonetTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/12/2024Last Updated6/12/2024Contact InformationPractice LocationPractice Address1620 W Harrison St, Chicago, IL 60612-3801Phone(312) 942-5000FaxUnlisted FaxMailing LocationMailing Address2003 W Evergreen Ave Unit G, Chicago, IL 60622-2609Phone(720) 335-1946FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125084210Illinois