Individual ProviderElizabeth ScottPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1620 W Harrison St, Chicago, IL 60612-3801(312) 942-6744PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Scott 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 3 days ago.Profile DetailsProvider ID1972192078Provider TypeIndividualFull NameScott, ElizabethGenderFemaleSole ProprietorNoEnumeration Date1/13/2021Last Updated6/1/2022Contact InformationPractice LocationPractice Address1620 W Harrison St, Chicago, IL 60612-3801Phone(312) 942-6744FaxUnlisted FaxMailing LocationMailing Address1620 W Harrison St, Chicago, IL 60612-3801Phone(312) 942-6744FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense085008876IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer