Melanie Rae Berube | Chicago, IL • PECOS Search

Melanie Rae Berube

Social Worker

Behavioral Health & Social Service Providers

2300 N Childrens Plz, Box 10, Chicago, IL 60614-3363

PECOS Enrollment

Based on the most recent information from CMS, provider Melanie Rae Berube 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
1265707616
Provider Type
Individual
Full Name
Berube, Melanie Rae
Title
Miss
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/19/2012
Last Updated
3/19/2012

Contact Information

Practice Location

2300 N Childrens Plz, Box 10, Chicago, IL 60614-3363

Unlisted Fax

Mailing Location

2300 N Childrens Plz, Box 10, Chicago, IL 60614-3363

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.015158 Illinois