Individual ProviderCrystal CreelySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1220 N Washtenaw Ave Apt 3f, Chicago, IL 60622-3324(727) 534-7534PECOS EnrollmentBased on the most recent information from CMS, provider Crystal Creely 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 ID1891113726Provider TypeIndividualFull NameCreely, CrystalCredentialM.A. CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date3/28/2014Last Updated3/28/2014Contact InformationPractice LocationPractice Address1220 N Washtenaw Ave Apt 3f, Chicago, IL 60622-3324Phone(727) 534-7534FaxUnlisted FaxMailing LocationMailing Address1220 N Washtenaw Ave Apt 3f, Chicago, IL 60622-3324Phone(727) 534-7534FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146.011425Illinois