Individual ProviderKaren AndersonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5517 W Cullom Ave, Chicago, IL 60641-1315(773) 510-6271PECOS EnrollmentBased on the most recent information from CMS, provider Karen Anderson 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 ID1932651460Provider TypeIndividualFull NameAnderson, KarenCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date11/1/2016Last Updated11/1/2016Contact InformationPractice LocationPractice Address5517 W Cullom Ave, Chicago, IL 60641-1315Phone(773) 510-6271FaxUnlisted FaxMailing LocationMailing Address4300 W. Irving Park, Lydia Home Association, Chicago, IL 60641Phone(773) 510-6271FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.004684Illinois