Tammy Sopper | Chicago, IL • PECOS Search

Tammy Sopper

Social Worker

Behavioral Health & Social Service Providers

858 N Clark St, #203, Chicago, IL 60610-6804

PECOS Enrollment

Based on the most recent information from CMS, provider Tammy Sopper 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
1063605194
Provider Type
Individual
Full Name
Sopper, Tammy
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/22/2007
Last Updated
8/22/2007

Contact Information

Practice Location

858 N Clark St, #203, Chicago, IL 60610-6804

Unlisted Fax

Mailing Location

476 W Deming Pl, Chicago, IL 60614-1771

Unlisted Fax

Provider Taxonomies

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