Look up the most recent NPI and PECOS records

Phyllis Mandler

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Phyllis Mandler is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1356472708
Provider Type
Individual
Full Name
Mandler, Phyllis
Credential
L.C.S.W.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/8/2007
Last Updated
7/8/2007

Contact Information

Practice Location

2502 N Clark St, Chicago, IL 60614-1850

(773) 281-6345

(773) 281-5526

Mailing Location

3750 N Lake Shore Dr, 14e, Chicago, IL 60613-4238

(773) 281-6345

(773) 281-5526

Provider Taxonomies

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

Phyllis Mandler

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Goldberg, Constance O

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Varol, Andrea Gail

Dialogue To Wellness

Cabanas, Theresa

Dominis, Roxanne B

Martinez, Jennifer

Hunsicker, Angela D