MEDICARE: GARY AKINS

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	104100000X	Social Worker	150.1111.94	IL

General Provider Information

NPI Number	:	1851228357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY AKINS

Provider Business Mailing Address
First Line	:	4228 S CHAMPLAIN AVE APT 3S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4228 S CHAMPLAIN AVE APT 3S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-2691
Country	:	US
Telephone Number	:	773-512-3372
Fax Number	:

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

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ GARY AKINS ” Practice Location

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