Gregory Allen Ratliff | Chicago, IL • PECOS Search

Gregory Allen Ratliff

Social Worker

Behavioral Health & Social Service Providers

1000 W Diversey Pkwy, Suite 275, Chicago, IL 60614-1879

PECOS Enrollment

Based on the most recent information from CMS, provider Gregory Allen Ratliff 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
1174943856
Provider Type
Individual
Full Name
Ratliff, Gregory Allen
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/22/2014
Last Updated
6/2/2014

Contact Information

Practice Location

1000 W Diversey Pkwy, Suite 275, Chicago, IL 60614-1879

Unlisted Fax

Mailing Location

1000 W Diversey Pkwy, Suite 275, Chicago, IL 60614-1879

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.016368 Illinois