Individual ProviderMegan QuaylePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1969 W Ogden Ave, Chicago, IL 60612-3765(312) 864-6000PECOS EnrollmentBased on the most recent information from CMS, provider Megan Quayle is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1629877006Provider TypeIndividualFull NameQuayle, MeganCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date3/10/2025Last Updated3/10/2025Contact InformationPractice LocationPractice Address1969 W Ogden Ave, Chicago, IL 60612-3765Phone(312) 864-6000FaxUnlisted FaxMailing LocationMailing Address2234 W Roscoe St Apt 3, Chicago, IL 60618-8696PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense085011122Illinois