Individual ProviderSuzanne ManaherSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4840 W Byron St, Chicago, IL 60641-2712(773) 420-6528PECOS EnrollmentBased on the most recent information from CMS, provider Suzanne Manaher 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 ID1962098863Provider TypeIndividualFull NameManaher, SuzanneCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date12/15/2020Last Updated12/15/2020Contact InformationPractice LocationPractice Address4840 W Byron St, Chicago, IL 60641-2712Phone(773) 420-6528FaxUnlisted FaxMailing LocationMailing Address4840 W Byron St, Chicago, IL 60641-2712Phone(773) 420-6528FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.022676Illinois