Individual ProviderGregory WilliamsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2260 N Elston Ave, Chicago, IL 60614-2930(773) 772-2450PECOS EnrollmentBased on the most recent information from CMS, provider Gregory Williams 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 ID1275158099Provider TypeIndividualFull NameWilliams, GregoryCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date6/9/2020Last Updated6/9/2020Contact InformationPractice LocationPractice Address2260 N Elston Ave, Chicago, IL 60614-2930Phone(773) 772-2450FaxUnlisted FaxMailing LocationMailing Address736 Countryside Dr, Bolingbrook, IL 60490-5458PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.011556Illinois