Individual ProviderPamela StutzmanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4838 W Belle Plaine Ave, Apt 3s, Chicago, IL 60641-1828(773) 350-2782PECOS EnrollmentBased on the most recent information from CMS, provider Pamela Stutzman 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 ID1255591871Provider TypeIndividualFull NameStutzman, PamelaCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date6/17/2008Last Updated6/17/2008Contact InformationPractice LocationPractice Address4838 W Belle Plaine Ave, Apt 3s, Chicago, IL 60641-1828Phone(773) 350-2782FaxUnlisted FaxMailing LocationMailing Address4838 W Belle Plaine Ave, Apt 3s, Chicago, IL 60641-1828Phone(773) 350-2782FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.011571Illinois