Individual ProviderCorinne FergusonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4255 N Knox Ave, Chicago, IL 60641-1904(773) 245-3695(773) 318-2716PECOS EnrollmentBased on the most recent information from CMS, provider Corinne Ferguson 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 ID1346601432Provider TypeIndividualFull NameFerguson, CorinneCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date3/16/2016Last Updated6/10/2024Contact InformationPractice LocationPractice Address4255 N Knox Ave, Chicago, IL 60641-1904Phone(773) 245-3695FaxUnlisted FaxMailing LocationMailing Address1531 W Howard St Apt 508, Chicago, IL 60626-1898Phone(773) 318-2716FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149018291Illinois