Individual ProviderJean BaxSocial WorkerBehavioral Health & Social Service ProvidersPractice Address820 N Orleans St Ste 350, Chicago, IL 60610-3145(312) 809-0298PECOS EnrollmentBased on the most recent information from CMS, provider Jean Bax 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 2 days ago.Profile DetailsProvider ID1003621921Provider TypeIndividualFull NameBax, JeanGenderFemaleSole ProprietorNoEnumeration Date2/10/2025Last Updated2/10/2025Contact InformationPractice LocationPractice Address820 N Orleans St Ste 350, Chicago, IL 60610-3145Phone(312) 809-0298Fax(866) 687-0879Mailing LocationMailing Address820 N Orleans St Ste 350, Chicago, IL 60610-3145Phone(312) 809-0298Fax(866) 687-0879Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense150.113916Illinois