Individual ProviderWilliam ConleySurgeryAllopathic & Osteopathic PhysiciansPractice Address1740 W Taylor St, Chicago, IL 60612(866) 600-2273PECOS EnrollmentBased on the most recent information from CMS, provider William Conley is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1730876715Provider TypeIndividualFull NameConley, WilliamTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date4/20/2023Last Updated5/22/2023Contact InformationPractice LocationPractice Address1740 W Taylor St, Chicago, IL 60612Phone(866) 600-2273FaxUnlisted FaxMailing LocationMailing Address1740 W Taylor St, Chicago, IL 60612PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125.081889IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer