Individual ProviderKori C. MillSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2526 N Lincoln Ave, #218, Chicago, IL 60614-2353(773) 869-6092(773) 338-7164PECOS EnrollmentBased on the most recent information from CMS, provider Kori C. Mill 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 ID1447464599Provider TypeIndividualFull NameMill, Kori C.TitleMs.CredentialMA, LCSWGenderFemaleSole ProprietorYesEnumeration Date5/9/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2526 N Lincoln Ave, #218, Chicago, IL 60614-2353Phone(773) 869-6092Fax(773) 869-2371Mailing LocationMailing Address1140 W Pratt Blvd, #2e, Chicago, IL 60626-4413Phone(773) 338-7164FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerIllinoisProvider IdentifiersIDDescriptionIssuerID0001634097DescriptionOtherIssuerBLUE CROSS BLUE SHIELDIllinois