Individual ProviderEbony MarkinSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1276 N Clybourn Ave, Chicago, IL 60610-2003(312) 337-1073(773) 544-8584PECOS EnrollmentBased on the most recent information from CMS, provider Ebony Markin is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194445734Provider TypeIndividualFull NameMarkin, EbonyTitleMs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date9/1/2022Last Updated2/15/2023Contact InformationPractice LocationPractice Address1276 N Clybourn Ave, Chicago, IL 60610-2003Phone(312) 337-1073FaxUnlisted FaxMailing LocationMailing Address4916 W 18th St Apt 1, Cicero, IL 60804-2472Phone(773) 544-8584FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.024637Illinois