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General NPI Number Information
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NPI Number | 1336051002
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Entity Type | Individual
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Provider Name | GAVIN FINNIGAN GILES LPC
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Gender | Male
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 3166 N LINCOLN AVE STE 200
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City | CHICAGO
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State | IL
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Zip | 60657-3119
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Country | US
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Telephone | 847-920-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 1841 N WHIPPLE ST APT 3
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City | CHICAGO
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State | IL
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Zip | 60647-7270
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Country | US
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Telephone | 708-295-4220
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178.033389
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License Number State | IL
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