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Alexis Caryl Quemeneur

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1620 W Harrison St, Chicago, IL 60612-3801

PECOS Enrollment

This provider is enrolled in PECOS as ALEXIS QUEMENEUR.

Based on the most recent information from CMS, provider Alexis Caryl Quemeneur is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1548084429
Provider Type
Individual
Full Name
Quemeneur, Alexis Caryl
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/8/2024
Last Updated
11/8/2024

Contact Information

Practice Location

1620 W Harrison St, Chicago, IL 60612-3801

(312) 942-9885

Unlisted Fax

Mailing Location

1620 W Harrison St, Chicago, IL 60612-3801

(312) 942-9885

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085.010850 Illinois

Alexis Caryl Quemeneur

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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