Healthcare Provider Details

I. General information

NPI: 1184833931
Provider Name (Legal Business Name): MICHAEL DUNN GARA PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 HARNISH DR STE 100
ALGONQUIN IL
60102-6846
US

IV. Provider business mailing address

2401 HARNISH DR STE 100
ALGONQUIN IL
60102-6846
US

V. Phone/Fax

Practice location:
  • Phone: 847-440-2281
  • Fax: 224-241-8394
Mailing address:
  • Phone: 847-440-2281
  • Fax: 224-241-8394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071006833
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: