Individual ProviderEva L. JohnsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2219 N Kenmore Ave, Suite 300, Chicago, IL 60614-3504(773) 325-7780PECOS EnrollmentBased on the most recent information from CMS, provider Eva L. Johnson 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 ID1417297722Provider TypeIndividualFull NameJohnson, Eva L.TitleMs.GenderFemaleSole ProprietorYesEnumeration Date2/22/2013Last Updated2/22/2013Contact InformationPractice LocationPractice Address2219 N Kenmore Ave, Suite 300, Chicago, IL 60614-3504Phone(773) 325-7780Fax(773) 325-7781Mailing LocationMailing Address2219 N Kenmore Ave, Suite 300, Chicago, IL 60614-3504Phone(773) 325-7780Fax(773) 325-7781Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149010706Illinois