Healthcare Provider Details

I. General information

NPI: 1467545020
Provider Name (Legal Business Name): GULINO AND GULINO P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1807 HICKS RD SUITE D
ROLLING MEADOWS IL
60008-1242
US

IV. Provider business mailing address

1807 HICKS RD SUITE D
ROLLING MEADOWS IL
60008-1242
US

V. Phone/Fax

Practice location:
  • Phone: 847-358-0707
  • Fax: 847-854-5528
Mailing address:
  • Phone: 847-358-0707
  • Fax: 847-854-5528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149000323
License Number StateIL

VIII. Authorized Official

Name: MS. JANE MARGARET GULINO
Title or Position: PRESIDENT
Credential: LCSW
Phone: 847-358-0707