Individual ProviderDralisa YoungSocial WorkerBehavioral Health & Social Service ProvidersPractice Address213 W Institute Pl Ste 500, Chicago, IL 60610-8792(815) 341-8121PECOS EnrollmentBased on the most recent information from CMS, provider Dralisa Young 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 ID1326773698Provider TypeIndividualFull NameYoung, DralisaCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date7/20/2022Last Updated2/24/2026Contact InformationPractice LocationPractice Address213 W Institute Pl Ste 500, Chicago, IL 60610-8792Phone(815) 341-8121FaxUnlisted FaxMailing LocationMailing Address213 W Institute Pl Ste 500, Chicago, IL 60610-8792Phone(815) 341-8121FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.027183IllinoisCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer