Individual ProviderAeri PaekFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address14 Lake St, Oak Park, IL 60302-2606(708) 383-0113PECOS EnrollmentBased on the most recent information from CMS, provider Aeri Paek 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 yesterday at 12:57 PM.Profile DetailsProvider ID1366899619Provider TypeIndividualFull NamePaek, AeriGenderFemaleSole ProprietorNoEnumeration Date5/17/2016Last Updated12/26/2019Contact InformationPractice LocationPractice Address14 Lake St, Oak Park, IL 60302-2606Phone(708) 383-0113Fax(708) 383-9911Mailing LocationMailing Address14 Lake St, Oak Park, IL 60302-2606Phone(708) 383-0113Fax(708) 383-9911Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036.148877IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer