Louis Diamond | Chicago, IL • PECOS Search

Louis Diamond

Social Worker

Behavioral Health & Social Service Providers

4039 W Eddy St, Chicago, IL 60641-3926

PECOS Enrollment

Based on the most recent information from CMS, provider Louis Diamond 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
1144596370
Provider Type
Individual
Full Name
Diamond, Louis
Title
Mr.
Credential
LCSW CADC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/2/2012
Last Updated
4/2/2012

Contact Information

Practice Location

4039 W Eddy St, Chicago, IL 60641-3926

Unlisted Fax

Mailing Location

4039 W Eddy St, Chicago, IL 60641-3926

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149009648 Illinois