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NPI Code Detail

MEDICARE: GAYLE SATURDAY LCSW

MEDICARE: GAYLE SATURDAY LCSW
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
1101YM0800XMental Health Counselor149006722IL

General Provider Information

NPI Number : 1699783803
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAYLE SATURDAY LCSW
Provider Business Mailing Address
First Line : 610 ARBOR CIR
Second Line :
City : LAKEMOOR
State : IL
Zip : 60051-2212
Country : US
Telephone Number : 815-529-7002
Fax Number :
Provider Business Practice Location Address
First Line : 5404 W ELM ST STE H
Second Line :
City : MCHENRY
State : IL
Zip : 60050-4007
Country : US
Telephone Number : 815-331-8768
Fax Number : 815-331-8760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 09/23/2020

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