Deborah Ellen Smith | Chicago, IL • PECOS Search

Deborah Ellen Smith

Social Worker

Behavioral Health & Social Service Providers

4018 N Milwaukee Ave, Suite 216, Chicago, IL 60641-2067

PECOS Enrollment

Based on the most recent information from CMS, provider Deborah Ellen Smith does not have current enrollment records in PECOS.

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

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

Profile Details

Provider ID
1376675728
Provider Type
Individual
Full Name
Smith, Deborah Ellen
Credential
DEBORAH SMITH

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/12/2007
Last Updated
7/8/2007

Contact Information

Practice Location

4018 N Milwaukee Ave, Suite 216, Chicago, IL 60641-2067

Unlisted Fax

Mailing Location

4018 N Milwaukee Ave, Suite 216, Chicago, IL 60641-2067

Unlisted Fax

Provider Taxonomies

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