Thomas Lloyd Mattison | Chicago, IL • PECOS Search

Thomas Lloyd Mattison

Social Worker

Behavioral Health & Social Service Providers

5430 W Berteau Ave Fl 2, Chicago, IL 60641-1310

PECOS Enrollment

Based on the most recent information from CMS, provider Thomas Lloyd Mattison does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1558884734
Provider Type
Individual
Full Name
Mattison, Thomas Lloyd
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/19/2017
Last Updated
7/19/2017

Contact Information

Practice Location

5430 W Berteau Ave Fl 2, Chicago, IL 60641-1310

(847) 323-6606

Mailing Location

5430 W Berteau Ave Apt 2, Chicago, IL 60641-1310

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.019498 Illinois