Individual ProviderLalithasree ChintamFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2900 Foxfield Rd Ste 307, St Charles, IL 60174-5799(630) 208-3200PECOS EnrollmentBased on the most recent information from CMS, provider Lalithasree Chintam 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 2 days ago.Profile DetailsProvider ID1740786680Provider TypeIndividualFull NameChintam, LalithasreeCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/31/2018Last Updated2/21/2023Contact InformationPractice LocationPractice Address2900 Foxfield Rd Ste 307, St Charles, IL 60174-5799Phone(630) 208-3200Fax(630) 208-3201Mailing LocationMailing Address2900 Foxfield Rd Ste 307, St Charles, IL 60174-5799Phone(630) 208-3200Fax(630) 208-3201Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036156928Illinois