Individual ProviderPauline Mary WalshPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1969 W Ogden Ave, Emergency Medicine, Chicago, IL 60612-3765(312) 864-6000PECOS EnrollmentBased on the most recent information from CMS, provider Pauline Mary Walsh 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 3 days ago.Profile DetailsProvider ID1245588524Provider TypeIndividualFull NameWalsh, Pauline MaryCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date8/17/2012Last Updated1/19/2016Contact InformationPractice LocationPractice Address1969 W Ogden Ave, Emergency Medicine, Chicago, IL 60612-3765Phone(312) 864-6000FaxUnlisted FaxMailing LocationMailing Address1969 W Ogden Ave, Emergency Medicine, Chicago, IL 60612-3765Phone(312) 864-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense085004376Illinois