Individual ProviderDiana HeliotesSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1560 N Sandburg Ter Apt 3102, Chicago, IL 60610-1345(312) 388-3715PECOS EnrollmentBased on the most recent information from CMS, provider Diana Heliotes is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1548747389Provider TypeIndividualFull NameHeliotes, DianaTitleMs.CredentialMSW, LCSWGenderFemaleSole ProprietorYesEnumeration Date7/24/2018Last Updated7/24/2018Contact InformationPractice LocationPractice Address1560 N Sandburg Ter Apt 3102, Chicago, IL 60610-1345Phone(312) 388-3715FaxUnlisted FaxMailing LocationMailing Address1560 N Sandburg Ter Apt 3102, Chicago, IL 60610-1345Phone(312) 388-3715FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149006822Illinois