| Minda G Gerber Lcsw Pllc | |
|
770 Lake Cook Rd Ste 125 Deerfield IL 60015-4920 | |
| (847) 833-6764 | |
| Not Available |
| Full Name | Minda G Gerber Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 770 Lake Cook Rd Ste 125, Deerfield, Illinois |
| Authorized Official Name and Position | Minda Gerber (OWNER) |
| Authorized Official Contact | 8478336764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minda G Gerber Lcsw Pllc 770 Lake Cook Rd Ste 125 Deerfield IL 60015-4920 Ph: (847) 833-6764 | Minda G Gerber Lcsw Pllc 770 Lake Cook Rd Ste 125 Deerfield IL 60015-4920 Ph: (847) 833-6764 |
| NPI Number | 1114396504 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114396504 | NPI | - | NPPES |
| 149004924 | Other | IL | ILLINOIS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149004924 (Illinois) | Primary |
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