Individual ProviderAngelique EscanoRegistered NurseNursing Service ProvidersPractice Address4646 N Marine Dr, Chicago, IL 60640-5759(773) 878-8700(773) 691-9625PECOS EnrollmentBased on the most recent information from CMS, provider Angelique Escano 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 yesterday at 12:57 PM.Profile DetailsProvider ID1093261240Provider TypeIndividualFull NameEscano, AngeliqueCredentialADNGenderFemaleSole ProprietorYesEnumeration Date8/28/2016Last Updated8/28/2016Contact InformationPractice LocationPractice Address4646 N Marine Dr, Chicago, IL 60640-5759Phone(773) 878-8700FaxUnlisted FaxMailing LocationMailing Address1802 N Taft Ave Apt 1a, Berkeley, IL 60163-1558Phone(773) 691-9625FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense041409996IllinoisProvider IdentifiersIDDescriptionIssuerIDU5664052901DescriptionOtherIssuerCIGNA HEALTH AND LIFE INSURANCE CO.Illinois