Individual ProviderMichael ShinSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2233 W Division St, Chicago, IL 60622-8151(312) 770-2054(773) 502-2625PECOS EnrollmentBased on the most recent information from CMS, provider Michael Shin 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 ID1104173673Provider TypeIndividualFull NameShin, MichaelCredentialMS, CCC-SLPGenderMaleSole ProprietorYesEnumeration Date8/14/2012Last Updated8/14/2012Contact InformationPractice LocationPractice Address2233 W Division St, Chicago, IL 60622-8151Phone(312) 770-2054FaxUnlisted FaxMailing LocationMailing Address3719 N Hermitage Ave, Chicago, IL 60613-3508Phone(773) 502-2625FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146007166Illinois