Individual ProviderNoe SorianoEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1740 W Taylor St, Chicago, IL 60612(866) 600-2273(312) 413-7492PECOS EnrollmentBased on the most recent information from CMS, provider Noe Soriano is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1972007599Provider TypeIndividualFull NameSoriano, NoeCredentialDOGenderMaleSole ProprietorNoEnumeration Date3/20/2018Last Updated10/28/2018Contact InformationPractice LocationPractice Address1740 W Taylor St, Chicago, IL 60612Phone(866) 600-2273FaxUnlisted FaxMailing LocationMailing Address808 S. Wood Street, 469a Cme, M/C 724, Chicago, IL 60612Phone(312) 413-7492FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense125.072204IllinoisCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125.072204IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer