Individual ProviderLeticia MaganaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2071 N Southport Ave, Chicago, IL 60614-4015(888) 428-7890PECOS EnrollmentBased on the most recent information from CMS, provider Leticia Magana 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 ID1861107385Provider TypeIndividualFull NameMagana, LeticiaCredentialLSWGenderFemaleSole ProprietorNoEnumeration Date1/18/2023Last Updated1/18/2023Contact InformationPractice LocationPractice Address2071 N Southport Ave, Chicago, IL 60614-4015Phone(888) 428-7890FaxUnlisted FaxMailing LocationMailing Address2071 N Southport Ave, Chicago, IL 60614-4015PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense150.107235Illinois