1649349473 NPI number — MS. GAIL MAUREEN WEST HOOPER LCSW

Table of content: MS. GAIL MAUREEN WEST HOOPER LCSW (NPI 1649349473)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649349473 NPI number — MS. GAIL MAUREEN WEST HOOPER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEST HOOPER
Provider First Name:
GAIL
Provider Middle Name:
MAUREEN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WEST
Provider Other First Name:
GAIL
Provider Other Middle Name:
MAUREEN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649349473
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
707 W BROWN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60185
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-231-0267
Provider Business Mailing Address Fax Number:
630-231-0357

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
404 BOUGHTON ROAD
Provider Second Line Business Practice Location Address:
B
Provider Business Practice Location Address City Name:
BOLINGBROOK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60440
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-759-1732
Provider Business Practice Location Address Fax Number:
630-231-0357
Provider Enumeration Date:
11/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1041C0700X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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