Individual ProviderJennifer L GrossheiderBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address1530 S State St, Suite 15 N, Chicago, IL 60605-2973(630) 673-1211PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer L Grossheider does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1740595164Provider TypeIndividualFull NameGrossheider, Jennifer LTitleMs.GenderFemaleSole ProprietorYesEnumeration Date8/10/2010Last Updated8/10/2010Contact InformationPractice LocationPractice Address1530 S State St, Suite 15 N, Chicago, IL 60605-2973Phone(630) 673-1211Fax(773) 326-0725Mailing LocationMailing Address1530 S State St, Suite 15 N, Chicago, IL 60605-2973Phone(630) 673-1211Fax(773) 326-0725Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer