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NPI Code Detail

MEDICARE: DR. PAUL ROBERT GIBLIN PH.D.

MEDICARE:  DR. PAUL ROBERT GIBLIN  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist166-000261IL

General Provider Information

NPI Number : 1326151697
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL ROBERT GIBLIN PH.D.
Provider Business Mailing Address
First Line : 820 N MICHIGAN AVE
Second Line : LT 633
City : CHICAGO
State : IL
Zip : 60611-2147
Country : US
Telephone Number : 312-915-7483
Fax Number : 312-915-7410
Provider Business Practice Location Address
First Line : 820 N MICHIGAN AVE
Second Line : LT 633
City : CHICAGO
State : IL
Zip : 60611-2147
Country : US
Telephone Number : 312-915-7483
Fax Number : 312-915-7410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL ROBERT GIBLIN PH.D.” Practice Location

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