Individual ProviderKathryn PuzzellaPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1969 W Ogden Ave, Chicago, IL 60612-3765(317) 341-5330PECOS EnrollmentBased on the most recent information from CMS, provider Kathryn Puzzella 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 3 days ago.Profile DetailsProvider ID1215658596Provider TypeIndividualFull NamePuzzella, KathrynGenderFemaleSole ProprietorYesEnumeration Date9/6/2022Last Updated3/31/2024Contact InformationPractice LocationPractice Address1969 W Ogden Ave, Chicago, IL 60612-3765Phone(317) 341-5330FaxUnlisted FaxMailing LocationMailing Address1969 W Ogden Ave, Chicago, IL 60612-3765Phone(317) 341-5330FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense085-010058IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer