Individual ProviderJessica ConwaySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1051 N Wolcott Ave Apt 2, Chicago, IL 60622-0151(513) 633-5180PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Conway 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 ID1255147997Provider TypeIndividualFull NameConway, JessicaCredentialMS CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date12/7/2024Last Updated12/7/2024Contact InformationPractice LocationPractice Address1051 N Wolcott Ave Apt 2, Chicago, IL 60622-0151Phone(513) 633-5180FaxUnlisted FaxMailing LocationMailing Address1051 N Wolcott Ave Apt 2, Chicago, IL 60622-0151Phone(513) 633-5180FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146.015037Illinois