Constance Stuetzer | Chicago, IL • PECOS Search

Constance Stuetzer

Social Worker

Behavioral Health & Social Service Providers

1404 N La Salle Dr, Chicago, IL 60610-1304

PECOS Enrollment

Based on the most recent information from CMS, provider Constance Stuetzer does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023131224
Provider Type
Individual
Full Name
Stuetzer, Constance
Title
Ms.
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/10/2007
Last Updated
7/8/2007

Contact Information

Practice Location

1404 N La Salle Dr, Chicago, IL 60610-1304

Unlisted Fax

Mailing Location

1404 N La Salle Dr, Chicago, IL 60610-1304

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer Illinois