Individual ProviderKatharine CaddellSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4006 N Milwaukee Ave Ste 208, Chicago, IL 60641-1977(847) 894-2972PECOS EnrollmentBased on the most recent information from CMS, provider Katharine Caddell 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 ID1407260797Provider TypeIndividualFull NameCaddell, KatharineCredentialMA, LCSWGenderFemaleSole ProprietorYesEnumeration Date6/16/2014Last Updated4/14/2020Contact InformationPractice LocationPractice Address4006 N Milwaukee Ave Ste 208, Chicago, IL 60641-1977Phone(847) 894-2972FaxUnlisted FaxMailing LocationMailing Address4524 W Hutchinson St, Chicago, IL 60641-1946Phone(847) 894-2972FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.014684Illinois