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General NPI Number Information
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NPI Number | 1669941720
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Entity Type | Organization
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Legal Business Name | LAURA G GERBER PC
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Dates
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Enumeration Date | 11/19/2018
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 85 REVERE DR STE B
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City | NORTHBROOK
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State | IL
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Zip | 60062-8001
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Country | US
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Telephone | 847-997-7470
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Fax |
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Provider Business Mailing Address
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Address Line | 411 KELBURN RD APT 324
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City | DEERFIELD
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State | IL
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Zip | 60015-4385
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Country | US
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Telephone | 847-997-7470
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PROFESSIONAL COUN
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Name | DR. LAURA GILBERT GERBER
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Credential | PHD, LCPC
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Telephone | 847-997-7470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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