Individual ProviderJulie N LennonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4801 W Peterson Ave, Suite 402, Chicago, IL 60646(773) 736-9400(847) 676-1466PECOS EnrollmentBased on the most recent information from CMS, provider Julie N Lennon 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 2 days ago.Profile DetailsProvider ID1497843841Provider TypeIndividualFull NameLennon, Julie NTitleMrs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date10/11/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4801 W Peterson Ave, Suite 402, Chicago, IL 60646Phone(773) 736-9400Fax(773) 736-3546Mailing LocationMailing Address9126 Four Winds Way, Skokie, IL 60076Phone(847) 676-1466Fax(847) 676-0902Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerIllinoisProvider IdentifiersIDDescriptionIssuerID33960230301DescriptionMedicaidIssuerUnlistedIllinois