Individual ProviderKathy SandersRegistered NurseNursing Service ProvidersPractice Address5517 N Kenmore Ave, Chicago, IL 60640-1515(773) 275-7962PECOS EnrollmentBased on the most recent information from CMS, provider Kathy Sanders 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 ID1194213009Provider TypeIndividualFull NameSanders, KathyCredentialREGISTERED NURSEGenderFemaleSole ProprietorYesEnumeration Date4/26/2018Last Updated4/26/2018Contact InformationPractice LocationPractice Address5517 N Kenmore Ave, Chicago, IL 60640-1515Phone(773) 275-7962FaxUnlisted FaxMailing LocationMailing Address8839 S Eggleston Ave, Chicago, IL 60620-2117PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense041313172Illinois