Individual ProviderKevin BercawSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4840 W Byron St, Chicago, IL 60641-2712(773) 282-7800(630) 664-8876PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Bercaw 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 yesterday at 12:57 PM.Profile DetailsProvider ID1811440563Provider TypeIndividualFull NameBercaw, KevinTitleMr.CredentialL.C.S.WGenderMaleSole ProprietorNoEnumeration Date7/29/2016Last Updated7/29/2016Contact InformationPractice LocationPractice Address4840 W Byron St, Chicago, IL 60641-2712Phone(773) 282-7800Fax(773) 282-2163Mailing LocationMailing Address312 S Western Ave, Aurora, IL 60506-4637Phone(630) 664-8876FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149007040IllinoisProvider IdentifiersIDDescriptionIssuerID149007040DescriptionOtherIssuerSTATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICESIllinois