Individual ProviderTaylor MallonSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622(708) 846-2380PECOS EnrollmentBased on the most recent information from CMS, provider Taylor Mallon 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 ID1891342093Provider TypeIndividualFull NameMallon, TaylorGenderFemaleSole ProprietorNoEnumeration Date8/22/2019Last Updated8/22/2019Contact InformationPractice LocationPractice Address8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622Phone(708) 846-2380FaxUnlisted FaxMailing LocationMailing Address8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622Phone(708) 846-2380FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146.013540Illinois