Individual ProviderAngela AmicoSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address828 N California Ave, Apt 3, Chicago, IL 60622-8295(570) 242-0578PECOS EnrollmentBased on the most recent information from CMS, provider Angela Amico 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 ID1538526496Provider TypeIndividualFull NameAmico, AngelaTitleMs.GenderFemaleSole ProprietorNoEnumeration Date1/24/2016Last Updated1/24/2016Contact InformationPractice LocationPractice Address828 N California Ave, Apt 3, Chicago, IL 60622-8295Phone(570) 242-0578FaxUnlisted FaxMailing LocationMailing Address828 N California Ave, Apt 3, Chicago, IL 60622-8295Phone(570) 242-0578FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146013024Illinois