OrganizationShining Light TherapySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address522 N Ashland Ave Apt 2, Chicago, IL 60622-6337(847) 508-6135PECOS EnrollmentBased on the most recent information from CMS, provider Shining Light Therapy 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 ID1902687627Provider TypeOrganizationFull NameShining Light TherapySubpartNoEnumeration Date10/9/2023Last Updated10/10/2023Contact InformationPractice LocationPractice Address522 N Ashland Ave Apt 2, Chicago, IL 60622-6337Phone(847) 508-6135FaxUnlisted FaxMailing LocationMailing Address522 N Ashland Ave Apt 2, Chicago, IL 60622-6337Phone(847) 508-6135FaxUnlisted FaxAuthorized OfficialNamePickman, Alexandra (Speech Language Pathologist)Phone(847) 508-6135Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer