Individual ProviderLeslie SmebakFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address14 Lake St, Oak Park, IL 60302-2606(708) 383-0113PECOS EnrollmentBased on the most recent information from CMS, provider Leslie Smebak 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 ID1760973515Provider TypeIndividualFull NameSmebak, LeslieCredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/28/2018Last Updated8/6/2021Contact InformationPractice LocationPractice Address14 Lake St, Oak Park, IL 60302-2606PhoneUnlisted PhoneFaxUnlisted FaxMailing LocationMailing Address14 Lake St, Oak Park, IL 60302-2606Phone(708) 383-0113Fax(708) 383-9911Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036.157901Illinois