OrganizationDivers Psychotherapy LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3929 N Kostner Ave, Chicago, IL 60641-2839(312) 860-9840PECOS EnrollmentBased on the most recent information from CMS, provider Divers Psychotherapy Llc 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 ID1023873973Provider TypeOrganizationFull NameDivers Psychotherapy LlcSubpartNoEnumeration Date2/20/2024Last Updated2/20/2024Contact InformationPractice LocationPractice Address3929 N Kostner Ave, Chicago, IL 60641-2839Phone(312) 860-9840FaxUnlisted FaxMailing LocationMailing Address3929 N Kostner Ave, Chicago, IL 60641-2839Phone(312) 860-9840FaxUnlisted FaxAuthorized OfficialNameClohisy, Luke (Psychotherapist)Phone(312) 860-9840Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer