Individual ProviderScott AgeeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address14 Lake St, Oak Park, IL 60302(708) 383-0113PECOS EnrollmentBased on the most recent information from CMS, provider Scott Agee 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 yesterday at 12:57 PM.Profile DetailsProvider ID1154700938Provider TypeIndividualFull NameAgee, ScottCredentialDOGenderMaleSole ProprietorNoEnumeration Date5/26/2015Last Updated7/21/2018Contact InformationPractice LocationPractice Address14 Lake St, Oak Park, IL 60302Phone(708) 383-0113Fax(708) 393-9911Mailing LocationMailing Address14 Lake St, Oak Park, IL 60302-2606Phone(708) 383-0113Fax(708) 393-9911Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036146381IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer