Individual ProviderStephany M BrutsmanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4840 W Byron St, Chicago, IL 60641-2778(773) 319-0238PECOS EnrollmentBased on the most recent information from CMS, provider Stephany M Brutsman 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 ID1942822002Provider TypeIndividualFull NameBrutsman, Stephany MTitleMrs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date5/12/2020Last Updated5/12/2020Contact InformationPractice LocationPractice Address4840 W Byron St, Chicago, IL 60641-2778Phone(773) 319-0238Fax(773) 282-7800Mailing LocationMailing Address1001 E Touhy Ave Ste 50, Des Plaines, IL 60018-5817Phone(773) 319-0238Fax(773) 282-7800Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.021860IllinoisProvider IdentifiersIDDescriptionIssuerID149.021860DescriptionOtherIssuerLCSW LICENSING NUMBERIllinois