Individual ProviderGina StillitanoAudiologistSpeech, Language and Hearing Service ProvidersPractice Address3200 W Market St, Suite 108, Fairlawn, OH 44333-3335(330) 869-9911PECOS EnrollmentBased on the most recent information from CMS, provider Gina Stillitano does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699807735Provider TypeIndividualFull NameStillitano, GinaTitleDr.CredentialAU.D.GenderFemaleSole ProprietorNoEnumeration Date3/12/2007Last Updated7/25/2014Contact InformationPractice LocationPractice Address3200 W Market St, Suite 108, Fairlawn, OH 44333-3335Phone(330) 869-9911FaxUnlisted FaxMailing LocationMailing Address3200 W Market St, Suite 108, Fairlawn, OH 44333-3335Phone(330) 869-9911FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode231H00000XPrimaryDescriptionAudiologistSpeech, Language and Hearing Service ProvidersLicenseA.01565OhioCode231H00000XDescriptionAudiologistSpeech, Language and Hearing Service ProvidersLicense147.001212Illinois