OrganizationSider Speech & Language, LlcSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1151 N Damen Ave Apt 2c, Chicago, IL 60622-6998(410) 218-4111PECOS EnrollmentBased on the most recent information from CMS, provider Sider Speech & Language, Llc 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 ID1639657117Provider TypeOrganizationFull NameSider Speech & Language, LlcSubpartNoEnumeration Date8/6/2018Last Updated1/15/2020Contact InformationPractice LocationPractice Address1151 N Damen Ave Apt 2c, Chicago, IL 60622-6998Phone(410) 218-4111FaxUnlisted FaxMailing LocationMailing Address1151 N Damen Ave Apt 2c, Chicago, IL 60622-6998Phone(410) 218-4111FaxUnlisted FaxAuthorized OfficialNameSider, Courtney (Speech-Language Pathologist)Phone(410) 218-4111Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146010581Illinois