Individual ProviderJennifer MejiaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1111 N Wells St Ste 400, Chicago, IL 60610-7632(312) 573-8860PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Mejia 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 ID1912413055Provider TypeIndividualFull NameMejia, JenniferGenderFemaleSole ProprietorNoEnumeration Date12/27/2017Last Updated12/27/2017Contact InformationPractice LocationPractice Address1111 N Wells St Ste 400, Chicago, IL 60610-7632Phone(312) 573-8860FaxUnlisted FaxMailing LocationMailing Address1111 N Wells St Ste 400, Chicago, IL 60610-7632PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.019988Illinois