Individual ProviderDana GutmannSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2071 N Southport Ave Ste 100, Chicago, IL 60614-4015(630) 428-7890PECOS EnrollmentBased on the most recent information from CMS, provider Dana Gutmann is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1609639780Provider TypeIndividualFull NameGutmann, DanaCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date2/1/2024Last Updated2/1/2024Contact InformationPractice LocationPractice Address2071 N Southport Ave Ste 100, Chicago, IL 60614-4015Phone(630) 428-7890FaxUnlisted FaxMailing LocationMailing Address2071 N Southport Ave Ste 100, Chicago, IL 60614-4015PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149017729Illinois