Individual ProviderKishan UghrejaEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4201 W Medical Center Dr Ste 1-200, Mchenry, IL 60050-8409(815) 759-3100PECOS EnrollmentBased on the most recent information from CMS, provider Kishan Ughreja 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 4 days ago.Profile DetailsProvider ID1841665320Provider TypeIndividualFull NameUghreja, KishanGenderMaleSole ProprietorNoEnumeration Date12/9/2015Last Updated11/22/2023Contact InformationPractice LocationPractice Address4201 W Medical Center Dr Ste 1-200, Mchenry, IL 60050-8409Phone(815) 759-3100Fax(815) 363-9094Mailing LocationMailing Address4201 W Medical Center Dr Ste 1-200, Mchenry, IL 60050-8409Phone(815) 759-3100Fax(815) 363-9094Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense036165762Illinois