Individual ProviderMarla VenderSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2000 N Racine Ave, Suite 2310, Chicago, IL 60614-4045(773) 569-0213PECOS EnrollmentBased on the most recent information from CMS, provider Marla Vender 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 ID1356675565Provider TypeIndividualFull NameVender, MarlaTitleMs.CredentialAM, LCSWGenderFemaleSole ProprietorYesEnumeration Date9/22/2009Last Updated1/8/2015Contact InformationPractice LocationPractice Address2000 N Racine Ave, Suite 2310, Chicago, IL 60614-4045Phone(773) 569-0213FaxUnlisted FaxMailing LocationMailing Address2337 W Shakespeare Ave, Chicago, IL 60647-3218Phone(773) 569-0213FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149008962IllinoisCode1041S0200XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense157067Illinois