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Kenneth J Catalanotte

Social Worker

Behavioral Health & Social Service Providers

Area #116a6, Hines Va Hospital, Chicago, IL 60614

PECOS Enrollment

This provider is enrolled in PECOS as KENNETH CATALANOTTE.

Based on the most recent information from CMS, provider Kenneth J Catalanotte is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1790817658
Provider Type
Individual
Full Name
Catalanotte, Kenneth J
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/9/2007
Last Updated
7/8/2007

Contact Information

Practice Location

Area #116a6, Hines Va Hospital, Chicago, IL 60614

(708) 202-5563

Unlisted Fax

Mailing Location

P.O. Box 5000, Area #116a6, Hines Va Hospital, Chicago, IL 60614

(708) 202-5563

Unlisted Fax

Provider Taxonomies

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

Kenneth J Catalanotte

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Stallter, Kelsey

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Shovers, Samuel

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Hernandez, Sara Edith

Morris, Marsha E

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