Wakefield, Gary Paul
Wakefield, Gary Paul is an sole proprietor health care provider with primary practice located at 1497 North Lafox , South Elgin IL 60177-1227. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Wakefield, Gary Paul can be contacted via phone (847) 697-4747.Contact Information
Primary practice address
1497 North Lafox
South Elgin IL 60177-1227
Phone: (847) 697-4747
Fax: (847) 697-4717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Illinois | |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1972543668 |
|---|---|
| LBN Legal business name | Wakefield, Gary Paul |
| Credentials | MSW LCSW BCD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972543668 | NPPES |
| Other | 04572027 | BLUE CROSS BLUE SHIELD |
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