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Amy Blair

Social Worker

Behavioral Health & Social Service Providers

2300 N Childrens Plz, Box 10, Chicago, IL 60614-3363

(773) 366-0320

PECOS Enrollment

Based on the most recent information from CMS, provider Amy Blair 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
1699949727
Provider Type
Individual
Full Name
Blair, Amy
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
4/18/2008
Last Updated
3/3/2023

Contact Information

Practice Location

2300 N Childrens Plz, Box 10, Chicago, IL 60614-3363

(773) 366-0320

Unlisted Fax

Mailing Location

2300 N Childrens Plz, Box 10, Chicago, IL 60614-3363

(773) 366-0320

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 28444 California
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License 149012907 Illinois

Amy Blair

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Jain, Anna Richmond

Milbauer, Lara

Canada, Kelli Elizabeth

Jacobson, Rebecca Wolf

Bagley, Lafayette R

Blinderman, Shanna Leigh

Mitchell, Sydney

Berube, Melanie Rae

Rubin, Beth Rachel

Shaffer, Matthew Truman