Rebecca Jo Williams | Chicago, IL • PECOS Search

Rebecca Jo Williams

Social Worker

Behavioral Health & Social Service Providers

4300 W Irving Park Rd, Chicago, IL 60641-2825

(773) 653-2200 (773) 407-6852

PECOS Enrollment

Based on the most recent information from CMS, provider Rebecca Jo Williams 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
1164045241
Provider Type
Individual
Full Name
Williams, Rebecca Jo
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/22/2020
Last Updated
5/22/2020

Contact Information

Practice Location

4300 W Irving Park Rd, Chicago, IL 60641-2825

Unlisted Fax

Mailing Location

4845 W Eddy St, Chicago, IL 60641-3548

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.006596 Illinois