Katherine B Sutton | Chicago, IL • PECOS Search

Katherine B Sutton

Social Worker

Behavioral Health & Social Service Providers

2402 N Lincoln Ave Fl 2, Chicago, IL 60614-2415

(773) 469-6675 (330) 808-3272

PECOS Enrollment

Based on the most recent information from CMS, provider Katherine B Sutton 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1073171187
Provider Type
Individual
Full Name
Sutton, Katherine B
Gender
Female

Sole Proprietor
No
Enumeration Date
6/4/2019
Last Updated
6/4/2019

Contact Information

Practice Location

2402 N Lincoln Ave Fl 2, Chicago, IL 60614-2415

Unlisted Fax

Mailing Location

1114 W Pratt Blvd Apt 3s, Chicago, IL 60626-4483

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.021308 Illinois