Individual ProviderNicole Eileen JappSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2005 W Potomac Ave Apt 2, Chicago, IL 60622-3153(630) 456-5476PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Eileen Japp 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 ID1376100735Provider TypeIndividualFull NameJapp, Nicole EileenCredentialCCC-SLPGenderFemaleSole ProprietorYesEnumeration Date5/21/2019Last Updated2/7/2025Contact InformationPractice LocationPractice Address2005 W Potomac Ave Apt 2, Chicago, IL 60622-3153Phone(630) 456-5476FaxUnlisted FaxMailing LocationMailing Address1040 W Polk St Apt 3b, Chicago, IL 60607-3757Phone(630) 456-5476FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted IssuerIllinois