Individual ProviderAmba AylooFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address18 Chicago Ave, Oak Park, IL 60302-2402(773) 253-3933(312) 733-9730PECOS EnrollmentBased on the most recent information from CMS, provider Amba Ayloo 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 yesterday at 12:57 PM.Profile DetailsProvider ID1700206331Provider TypeIndividualFull NameAyloo, AmbaTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date4/22/2014Last Updated4/18/2016Contact InformationPractice LocationPractice Address18 Chicago Ave, Oak Park, IL 60302-2402Phone(773) 253-3933Fax(773) 437-6780Mailing LocationMailing Address213 N Racine Ave, Chicago, IL 60607-1644Phone(312) 733-9730Fax(773) 866-8014Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036134520Illinois