Look up the most recent NPI and PECOS records

Courtney George

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Courtney George 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
1376905489
Provider Type
Individual
Full Name
George, Courtney
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/28/2016
Last Updated
3/28/2016

Contact Information

Practice Location

4840 W Byron St, Chicago, IL 60641-2712

(773) 282-7800

(773) 282-2163

Mailing Location

4840 W Byron St, Chicago, IL 60641-2712

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149018252 Illinois

Courtney George

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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