Individual ProviderLenita MillerRegistered NurseNursing Service ProvidersPractice Address5517 N Kenmore Ave, Chicago, IL 60640-1515(773) 275-7962PECOS EnrollmentBased on the most recent information from CMS, provider Lenita Miller 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 ID1982065215Provider TypeIndividualFull NameMiller, LenitaCredentialRNGenderFemaleSole ProprietorNoEnumeration Date3/15/2016Last Updated3/15/2016Contact InformationPractice LocationPractice Address5517 N Kenmore Ave, Chicago, IL 60640-1515Phone(773) 275-7962FaxUnlisted FaxMailing LocationMailing Address5517 N Kenmore Ave, Chicago, IL 60640-1515Phone(773) 275-7962FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense041.428365Illinois