Individual ProviderShannon Marie HildebrandSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1037 N Winchester Ave, #1, Chicago, IL 60622-3734(773) 687-8711PECOS EnrollmentBased on the most recent information from CMS, provider Shannon Marie Hildebrand 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 ID1396992384Provider TypeIndividualFull NameHildebrand, Shannon MarieTitleMs.CredentialM.A.GenderFemaleSole ProprietorNoEnumeration Date8/21/2008Last Updated1/29/2013Contact InformationPractice LocationPractice Address1037 N Winchester Ave, #1, Chicago, IL 60622-3734Phone(773) 687-8711FaxUnlisted FaxMailing LocationMailing Address1037 N Winchester Ave, #1, Chicago, IL 60622-3734Phone(773) 687-8711FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146.011460IllinoisCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSP. 9402Ohio