Gail S Petrich is a Clinical in Oak Park, Illinois. Gail S Petrich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gail S Petrich is 1134249154. The last update date is 2014-08-11.
Gail S Petrich's current location address is 212 S Humphrey Ave, Oak Park, Illinois. You can contact this provider via phone number 7085240171. The mailing address for Gail S Petrich is 212 S Humphrey Ave, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gail S Petrich |
|---|---|
| Address | 212 S Humphrey Ave, Oak Park, Illinois |
| Phone Number | 7085240171 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1134249154 |
|---|---|
| Provider Enumeration Date | 2007-03-31 |
| Last Updated Date | 2014-08-11 |
Provider Mailing Address Detail
| Address | 212 S Humphrey Ave |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603023327 |
| Phone Number | 7085240171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-006029 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Gail S Petrich by the Centers for Medicare & Medicaid Services (CMS)?
The Gail S Petrich has been assigned the NPI (National Provider Identifier) 1134249154. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Gail S Petrich is physically located?
The Gail S Petrich is situated at the following address: 212 S Humphrey Ave, Oak Park, IL 603023327.
What is Gail S Petrich's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gail S Petrich's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134249154 to Gail S Petrich?
The Gail S Petrich received its 1134249154 assignment from the Centers for Medicare & Medicaid Services on 2007-03-31.
When was the information regarding Gail S Petrich most recently updated?
The details pertaining to the Gail S Petrich, including its address, specialty, and other relevant information, were last refreshed on 2014-08-11.
NPI Number: 1942207287
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