Individual ProviderJessica DehlinSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3500 N Lowell Ave, #3, Chicago, IL 60641-3847(630) 854-3076PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Dehlin 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 ID1063946481Provider TypeIndividualFull NameDehlin, JessicaTitleMs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date4/12/2017Last Updated4/12/2017Contact InformationPractice LocationPractice Address3500 N Lowell Ave, #3, Chicago, IL 60641-3847Phone(630) 854-3076FaxUnlisted FaxMailing LocationMailing Address3500 N Lowell Ave, #3, Chicago, IL 60641-3847Phone(630) 854-3076FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.019244Illinois