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NPI Code Detail

MEDICARE: MICHAEL GERBER

MEDICARE: MICHAEL GERBER
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
1101YP2500XProfessional Counselor178.013770IL

General Provider Information

NPI Number : 1982186359
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL GERBER
Provider Business Mailing Address
First Line : 5404 W ELM ST STE H
Second Line :
City : MCHENRY
State : IL
Zip : 60050-4007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5404 W ELM ST STE H
Second Line :
City : MCHENRY
State : IL
Zip : 60050-4007
Country : US
Telephone Number : 815-331-8768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2018
Last Update Date : 09/03/2018

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Directions to “ MICHAEL GERBER ” Practice Location

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