Erin Marie Gustafson, LCSW is a
Developmental Therapist based in Chicago, Illinois. Erin Marie Gustafson is licensed to practice in * (Not Available) (license number ) and her current practice location is
6501 S Promontory Dr, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 256-5778.
NPI number for Erin Marie Gustafson is 1942591466 and her current mailing address is 6501 S Promontory Dr, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942591466.
Healthcare Provider's Profile
Full Name | Erin Marie Gustafson |
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Gender | Female |
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Speciality | Developmental Therapist |
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Location | 6501 S Promontory Dr, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942591466
- Provider Enumeration Date: 05/02/2011
- Last Update Date: 09/15/2021
Medical Identifiers
Medical identifiers for Erin Marie Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942591466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.017736 (Illinois) | Secondary |
222Q00000X | Developmental Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erin Marie Gustafson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Erin Marie Gustafson, LCSW 6501 S Promontory Dr, Chicago, IL 60649-1003 Ph: (773) 256-5778 | Erin Marie Gustafson, LCSW 6501 S Promontory Dr, Chicago, IL 60649-1003 Ph: (773) 256-5778 |
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