Individual ProviderDarchell DarbyPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1900 W Van Buren St, Chicago, IL 60612-3145(312) 850-7255PECOS EnrollmentBased on the most recent information from CMS, provider Darchell Darby 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 ID1043550684Provider TypeIndividualFull NameDarby, DarchellCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date2/19/2013Last Updated2/19/2013Contact InformationPractice LocationPractice Address1900 W Van Buren St, Chicago, IL 60612-3145Phone(312) 850-7255FaxUnlisted FaxMailing LocationMailing Address1900 W Van Buren St, Chicago, IL 60612-3145Phone(312) 850-7255FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense085.004563Illinois