Individual ProviderClaire Elaine RayburnSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2142 W Walton St Apt 2, Chicago, IL 60622-4893(563) 676-0112PECOS EnrollmentBased on the most recent information from CMS, provider Claire Elaine Rayburn 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 ID1609483072Provider TypeIndividualFull NameRayburn, Claire ElaineCredentialMS CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date9/29/2020Last Updated9/29/2020Contact InformationPractice LocationPractice Address2142 W Walton St Apt 2, Chicago, IL 60622-4893Phone(563) 676-0112FaxUnlisted FaxMailing LocationMailing Address2142 W Walton St Apt 2, Chicago, IL 60622-4893Phone(563) 676-0112FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146015556Illinois