Individual ProviderNatasha Bullock-RestSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1553 N Bell Ave Apt 2f, Chicago, IL 60622-1836(479) 283-0089PECOS EnrollmentBased on the most recent information from CMS, provider Natasha Bullock-Rest 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 ID1881230977Provider TypeIndividualFull NameBullock-Rest, NatashaGenderFemaleSole ProprietorNoEnumeration Date11/23/2019Last Updated11/23/2019Contact InformationPractice LocationPractice Address1553 N Bell Ave Apt 2f, Chicago, IL 60622-1836Phone(479) 283-0089FaxUnlisted FaxMailing LocationMailing Address1553 N Bell Ave Apt 2f, Chicago, IL 60622-1836Phone(479) 283-0089FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146012945Illinois