Individual ProviderMegan Mackenzie RazimSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1353 N Ashland Ave, 1e, Chicago, IL 60622-2205(708) 705-6260PECOS EnrollmentBased on the most recent information from CMS, provider Megan Mackenzie Razim 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 ID1932554862Provider TypeIndividualFull NameRazim, Megan MackenzieTitleMs.CredentialSLPGenderFemaleSole ProprietorYesEnumeration Date4/28/2016Last Updated10/10/2016Contact InformationPractice LocationPractice Address1353 N Ashland Ave, 1e, Chicago, IL 60622-2205Phone(708) 705-6260FaxUnlisted FaxMailing LocationMailing Address1353 N Ashland Ave, Chicago, IL 60622-2205PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146.013117Illinois