Individual ProviderCourtney SiderSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1151 N Damen Ave Apt 2c, Chicago, IL 60622-6998(410) 218-4111PECOS EnrollmentBased on the most recent information from CMS, provider Courtney Sider 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 ID1912307604Provider TypeIndividualFull NameSider, CourtneyCredentialM.A., CCC-SLP/LGenderFemaleSole ProprietorYesEnumeration Date8/29/2014Last Updated3/12/2020Contact InformationPractice LocationPractice Address1151 N Damen Ave Apt 2c, Chicago, IL 60622-6998Phone(410) 218-4111FaxUnlisted FaxMailing LocationMailing Address1151 N Damen Ave Apt 2c, Chicago, IL 60622-6998Phone(410) 218-4111FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense1963290Illinois