Individual ProviderLara MilbauerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2071 N Southport Ave Ste 100, Chicago, IL 60614-4015(312) 761-4707PECOS EnrollmentBased on the most recent information from CMS, provider Lara Milbauer 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 ID1982335931Provider TypeIndividualFull NameMilbauer, LaraCredentialLSWGenderFemaleSole ProprietorYesEnumeration Date6/21/2022Last Updated6/21/2022Contact InformationPractice LocationPractice Address2071 N Southport Ave Ste 100, Chicago, IL 60614-4015Phone(312) 761-4707FaxUnlisted FaxMailing LocationMailing Address2071 N Southport Ave Ste 100, Chicago, IL 60614-4015Phone(312) 761-4707FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense150.107264Illinois