Jennifer P Cutilletta | Chicago, IL • PECOS Search

Jennifer P Cutilletta

Social Worker

Behavioral Health & Social Service Providers

1707 N. Halsted, Juvenile Protective Association,, Chicago, IL 60614

(312) 440-1203 (773) 296-6763

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer P Cutilletta 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
1700093093
Provider Type
Individual
Full Name
Cutilletta, Jennifer P
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/17/2007
Last Updated
7/8/2007

Contact Information

Practice Location

1707 N. Halsted, Juvenile Protective Association,, Chicago, IL 60614

(312) 440-9563

Mailing Location

1848 W Belle Plaine Ave, 3rd Floor, Chicago, IL 60613-1827

Unlisted Fax

Provider Taxonomies

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