Individual ProviderKelli Elizabeth CanadaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2750 N. Racine Ave., Chicago, IL 60614(773) 529-1200(773) 573-0846PECOS EnrollmentBased on the most recent information from CMS, provider Kelli Elizabeth Canada 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 ID1578715165Provider TypeIndividualFull NameCanada, Kelli ElizabethTitleMrs.CredentialLCSW, MSWGenderFemaleSole ProprietorNoEnumeration Date10/15/2008Last Updated10/15/2008Contact InformationPractice LocationPractice Address2750 N. Racine Ave., Chicago, IL 60614Phone(773) 529-1200Fax(773) 296-6131Mailing LocationMailing Address225 N. Racine Ave, #3e, Chicago, IL 60607Phone(773) 573-0846FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.011358Illinois