Individual ProviderRobert CartySocial WorkerBehavioral Health & Social Service ProvidersPractice Address867 N Dearborn St, Chicago, IL 60610-3310(312) 631-7952PECOS EnrollmentBased on the most recent information from CMS, provider Robert Carty 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 ID1568813939Provider TypeIndividualFull NameCarty, RobertCredentialLCSW, CADC, CCJPGenderMaleSole ProprietorNoEnumeration Date6/28/2016Last Updated6/28/2016Contact InformationPractice LocationPractice Address867 N Dearborn St, Chicago, IL 60610-3310Phone(312) 631-7952Fax(312) 943-3530Mailing LocationMailing Address867 N Dearborn St, Chicago, IL 60610-3310Phone(312) 631-7952Fax(312) 943-3530Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.009467IllinoisCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer