Individual ProviderMichelle RetzlaffSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2032 W Division St, Apartment 402n, Chicago, IL 60622-3388(773) 895-5180PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Retzlaff 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 ID1992014690Provider TypeIndividualFull NameRetzlaff, MichelleCredentialM.A., CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date9/28/2010Last Updated9/28/2010Contact InformationPractice LocationPractice Address2032 W Division St, Apartment 402n, Chicago, IL 60622-3388Phone(773) 895-5180FaxUnlisted FaxMailing LocationMailing Address2032 W Division St, Apt 402n, Chicago, IL 60622-3388Phone(773) 895-5180FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense146008822Illinois