Individual ProviderDiego EspinoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4212 W Irving Park Rd, Chicago, IL 60641-2935(773) 777-4444PECOS EnrollmentBased on the most recent information from CMS, provider Diego Espino 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 ID1922741750Provider TypeIndividualFull NameEspino, DiegoCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date4/19/2022Last Updated4/19/2022Contact InformationPractice LocationPractice Address4212 W Irving Park Rd, Chicago, IL 60641-2935Phone(773) 777-4444FaxUnlisted FaxMailing LocationMailing Address6321 N Avondale Ave, Chicago, IL 60631-1900PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149022097Illinois