MEDICARE: ALEX GAY

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
1	101Y00000X	Counselor	178020860	IL

General Provider Information

NPI Number	:	1124841184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX GAY

Provider Business Mailing Address
First Line	:	1 N LA SALLE ST STE 1450
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-4351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 N LA SALLE ST STE 1450
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-4351
Country	:	US
Telephone Number	:	312-578-9990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	11/06/2024

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Directions to “ ALEX GAY ” Practice Location

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