Individual ProviderKelly NelsonSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address847 N Marshfield Ave # 1f, Chicago, IL 60622-5132(763) 607-6819PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Nelson 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 ID1114301892Provider TypeIndividualFull NameNelson, KellyGenderFemaleSole ProprietorYesEnumeration Date7/13/2015Last Updated7/13/2015Contact InformationPractice LocationPractice Address847 N Marshfield Ave # 1f, Chicago, IL 60622-5132Phone(763) 607-6819FaxUnlisted FaxMailing LocationMailing Address847 N Marshfield Ave # 1f, Chicago, IL 60622-5132Phone(763) 607-6819FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer