Individual ProviderTheresa CabanasSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2528 N Lincoln Ave, Suite 116, Chicago, IL 60614-2333(773) 987-8165PECOS EnrollmentBased on the most recent information from CMS, provider Theresa Cabanas 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 ID1720239205Provider TypeIndividualFull NameCabanas, TheresaTitleMs.CredentialMSW LCSWGenderFemaleSole ProprietorYesEnumeration Date10/2/2008Last Updated8/19/2013Contact InformationPractice LocationPractice Address2528 N Lincoln Ave, Suite 116, Chicago, IL 60614-2333Phone(773) 987-8165FaxUnlisted FaxMailing LocationMailing Address6113 W 64th Pl, Unit 6, Chicago, IL 60638-5336Phone(773) 987-8165FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.015779Illinois