Individual ProviderSerena Renee KingSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1521 N Ashland Ave Apt 4, Chicago, IL 60622-7392(636) 236-5988PECOS EnrollmentBased on the most recent information from CMS, provider Serena Renee King 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 ID1184855959Provider TypeIndividualFull NameKing, Serena ReneeTitleMs.CredentialM.S., SLPGenderFemaleSole ProprietorYesEnumeration Date7/28/2009Last Updated7/28/2009Contact InformationPractice LocationPractice Address1521 N Ashland Ave Apt 4, Chicago, IL 60622-7392Phone(636) 236-5988FaxUnlisted FaxMailing LocationMailing Address1521 N Ashland Ave Apt 4, Chicago, IL 60622-7392Phone(636) 236-5988FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense242.001194Illinois