Individual ProviderStephanie MehlisDermatologyAllopathic & Osteopathic PhysiciansPractice Address9933 Woods Dr, 2nd Floor - Dermatology, Skokie, IL 60077-1057(847) 663-8060(847) 570-2040PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Mehlis 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 4 days ago.Profile DetailsProvider ID1770634131Provider TypeIndividualFull NameMehlis, StephanieTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date1/14/2007Last Updated2/10/2021Contact InformationPractice LocationPractice Address9933 Woods Dr, 2nd Floor - Dermatology, Skokie, IL 60077-1057Phone(847) 663-8060FaxUnlisted FaxMailing LocationMailing Address2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700Phone(847) 570-2040Fax(847) 733-5315Provider TaxonomiesCodeDescriptionLicenseCode207N00000XPrimaryDescriptionDermatologyAllopathic & Osteopathic PhysiciansLicense36111617Illinois