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Tara Anne Genovese-Ramos

Social Worker

Behavioral Health & Social Service Providers

4212 N Keystone Ave, Apt. 2c, Chicago, IL 60641-2320

PECOS Enrollment

This provider is enrolled in PECOS as TARA GENOVESE-RAMOS.

Based on the most recent information from CMS, provider Tara Anne Genovese-Ramos is legally eligible to order and refer claims for Part B and DME services only.

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

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

Profile Details

Provider ID
1619409919
Provider Type
Individual
Full Name
Genovese-Ramos, Tara Anne
Gender
Female

Sole Proprietor
Yes
Enumeration Date
3/28/2017
Last Updated
2/23/2023

Contact Information

Practice Location

4212 N Keystone Ave, Apt. 2c, Chicago, IL 60641-2320

(773) 366-4151

Unlisted Fax

Mailing Location

4212 N Keystone Ave, Apt. 2c, Chicago, IL 60641-2320

(773) 366-4151

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.018740 Illinois

Tara Anne Genovese-Ramos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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