Individual ProviderStephanie MarcusSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1610 W Grand Ave Apt 2a, Chicago, IL 60622-7853(847) 329-8226PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Marcus 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 ID1750808382Provider TypeIndividualFull NameMarcus, StephanieGenderFemaleSole ProprietorYesEnumeration Date8/24/2017Last Updated3/4/2019Contact InformationPractice LocationPractice Address1610 W Grand Ave Apt 2a, Chicago, IL 60622-7853Phone(847) 329-8226FaxUnlisted FaxMailing LocationMailing Address1610 W Grand Ave Apt 2a, Chicago, IL 60622-7853PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146.012528Illinois