Individual ProviderLaurie LomasneyRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S First Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153(708) 216-5221PECOS EnrollmentBased on the most recent information from CMS, provider Laurie Lomasney 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 7 days ago.Profile DetailsProvider ID1760469639Provider TypeIndividualFull NameLomasney, LaurieCredentialMDGenderFemaleSole ProprietorNoEnumeration Date12/30/2005Last Updated4/19/2021Contact InformationPractice LocationPractice Address2160 S First Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153Phone(708) 216-5221Fax(708) 216-0899Mailing LocationMailing Address2160 S First Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153Phone(708) 216-5221Fax(708) 216-0899Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense36085973IllinoisProvider IdentifiersIDDescriptionIssuerID36085973DescriptionMedicaidIssuerUnlistedIllinois