Individual ProviderTodd BelokEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1740 W. Taylor St, University Of Illinois Hospital, Chicago, IL 60612(866) 600-2273PECOS EnrollmentBased on the most recent information from CMS, provider Todd Belok 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 5 days ago.Profile DetailsProvider ID1649808650Provider TypeIndividualFull NameBelok, ToddCredentialDOGenderMaleSole ProprietorNoEnumeration Date3/27/2020Last Updated6/3/2020Contact InformationPractice LocationPractice Address1740 W. Taylor St, University Of Illinois Hospital, Chicago, IL 60612Phone(866) 600-2273FaxUnlisted FaxMailing LocationMailing Address1740 W. Taylor St, University Of Illinois Hospital, Chicago, IL 60612Phone(866) 600-2273FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense125.076613IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerIllinois