Individual ProviderLaura CullenSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address852 N Leavitt St, Apt. 1, Chicago, IL 60622-4805(708) 228-9653PECOS EnrollmentBased on the most recent information from CMS, provider Laura Cullen 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 ID1447604418Provider TypeIndividualFull NameCullen, LauraCredentialMS, CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date4/15/2016Last Updated4/15/2016Contact InformationPractice LocationPractice Address852 N Leavitt St, Apt. 1, Chicago, IL 60622-4805Phone(708) 228-9653FaxUnlisted FaxMailing LocationMailing Address852 N Leavitt St, Apt. 1, Chicago, IL 60622-4805PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146012504Illinois