Individual ProviderBreanne CarroSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1657 W Cortland St, Chicago, IL 60622-1119(877) 486-4140PECOS EnrollmentBased on the most recent information from CMS, provider Breanne Carro 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 ID1174835607Provider TypeIndividualFull NameCarro, BreanneTitleMrs.CredentialM.S., CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date7/13/2010Last Updated12/1/2014Contact InformationPractice LocationPractice Address1657 W Cortland St, Chicago, IL 60622-1119Phone(877) 486-4140FaxUnlisted FaxMailing LocationMailing Address1657 W Cortland St, Chicago, IL 60622-1119PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense242001542Illinois