MEDICARE: FRANCES GAIK PC

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	101YP2500X	Professional Counselor	180004961	IL
2	103T00000X	Psychologist	180004961	IL

General Provider Information

NPI Number	:	1417155839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCES GAIK PC

Provider Business Mailing Address
First Line	:	3500 SPRING RD
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523
Country	:	US
Telephone Number	:	630-655-0404
Fax Number	:	630-655-0101

Provider Business Practice Location Address
First Line	:	3500 SPRING RD
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523
Country	:	US
Telephone Number	:	630-655-0404
Fax Number	:	630-655-0101

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANCES GAIK
Credential	:
Telephone Number	:	630-655-6644

Provider Enumeration Date	:	07/06/2007
Last Update Date	:	08/01/2008

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