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Mckenna Jay Chalman

Surgery

Allopathic & Osteopathic Physicians

1620 W Harrison St, Chicago, IL 60612-3801

PECOS Enrollment

This provider is enrolled in PECOS as MCKENNA CHALMAN.

Based on the most recent information from CMS, provider Mckenna Jay Chalman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1891445870
Provider Type
Individual
Full Name
Chalman, Mckenna Jay
Gender
Female

Sole Proprietor
No
Enumeration Date
3/24/2022
Last Updated
7/5/2023

Contact Information

Practice Location

1620 W Harrison St, Chicago, IL 60612-3801

(312) 942-5000

Unlisted Fax

Mailing Location

1620 W Harrison St, Chicago, IL 60612-3801

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125.082567 Illinois

Mckenna Jay Chalman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hornsby, Cheryl Elise

Chang, Jaimie

Alqadi, Murad Majed

Drugas, Diane Marie

Nadelman, Alex

Alexieva, Julia

Denson, Keri Lee

Martin, Abigail Margaret

Sun, Ziyi

Friedman, Lindsay Rae