Deborah Birch-Gaytan | Chicago, IL • PECOS Search

Deborah Birch-Gaytan

Social Worker

Behavioral Health & Social Service Providers

2528 N Lincoln Ave, Suite 116, Chicago, IL 60614-2333

PECOS Enrollment

Based on the most recent information from CMS, provider Deborah Birch-Gaytan 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
1679803068
Provider Type
Individual
Full Name
Birch-Gaytan, Deborah
Credential
M.A.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/6/2010
Last Updated
1/6/2010

Contact Information

Practice Location

2528 N Lincoln Ave, Suite 116, Chicago, IL 60614-2333

Unlisted Fax

Mailing Location

4255 N Whipple St, Chicago, IL 60618-2515

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.013893 Illinois