Individual ProviderAmanda L WhetstoneSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1360 N Lake Shore Dr, #1007, Chicago, IL 60610-2181(419) 704-1334PECOS EnrollmentBased on the most recent information from CMS, provider Amanda L Whetstone 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 2 days ago.Profile DetailsProvider ID1427492966Provider TypeIndividualFull NameWhetstone, Amanda LCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date4/27/2013Last Updated4/27/2013Contact InformationPractice LocationPractice Address1360 N Lake Shore Dr, #1007, Chicago, IL 60610-2181Phone(419) 704-1334FaxUnlisted FaxMailing LocationMailing Address1360 N Lake Shore Dr, #1007, Chicago, IL 60610-2181PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.014471Illinois