Individual ProviderCaryl SalomonRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S 1st Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153-3328(708) 216-9000PECOS EnrollmentBased on the most recent information from CMS, provider Caryl Salomon 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 7 days ago.Profile DetailsProvider ID1215914189Provider TypeIndividualFull NameSalomon, CarylCredentialMDGenderFemaleEnumeration Date12/30/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address2160 S 1st Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153-3328Phone(708) 216-9000Fax(708) 216-9033Mailing LocationMailing Address2160 S 1st Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153-3328Phone(708) 216-9000Fax(708) 216-9033Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense36068872IllinoisProvider IdentifiersIDDescriptionIssuerID36068872DescriptionMedicaidIssuerUnlistedIllinois