Individual ProviderSydney MitchellSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2623 N Clark St, Chicago, IL 60614-1524(312) 722-6977(224) 456-0919PECOS EnrollmentBased on the most recent information from CMS, provider Sydney Mitchell 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 ID1740069582Provider TypeIndividualFull NameMitchell, SydneyCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date9/21/2023Last Updated9/21/2023Contact InformationPractice LocationPractice Address2623 N Clark St, Chicago, IL 60614-1524Phone(312) 722-6977FaxUnlisted FaxMailing LocationMailing Address4104 N Mozart St Apt 3w, Chicago, IL 60618-2735Phone(224) 456-0919FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.025716Illinois