Individual ProviderKathleen MonfortonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4167 Irving Park Road, Chicago, IL 60641(336) 558-6136(363) 558-6136PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Monforton does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194499293Provider TypeIndividualFull NameMonforton, KathleenCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date8/3/2021Last Updated8/3/2021Contact InformationPractice LocationPractice Address4167 Irving Park Road, Chicago, IL 60641Phone(336) 558-6136FaxUnlisted FaxMailing LocationMailing Address6057 N Talman Ave # 3b, Chicago, IL 60659-4037Phone(363) 558-6136FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.018953Illinois