Stacey Ann Thorn | Chicago, IL • PECOS Search

Stacey Ann Thorn

Social Worker

Behavioral Health & Social Service Providers

2300 N. Children'S Plaza, Box 10, Children'S Memorial Hospital, Chicago, IL 60614-3363

(773) 880-4104 (312) 493-1518

PECOS Enrollment

Based on the most recent information from CMS, provider Stacey Ann Thorn does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1942381140
Provider Type
Individual
Full Name
Thorn, Stacey Ann
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
10/17/2006
Last Updated
12/3/2010

Contact Information

Practice Location

2300 N. Children'S Plaza, Box 10, Children'S Memorial Hospital, Chicago, IL 60614-3363

(773) 880-8109

Mailing Location

4255 N Whipple St, Apt 3, Chicago, IL 60618-2515

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149011211 Illinois