Individual
MS. GAIL FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7143 S RICHMOND ST, CHICAGO, IL 60629-3010
(312) 927-0704
(773) 436-4678
Mailing address
7143 S RICHMOND ST, CHICAGO, IL 60629-3010
(312) 927-0704
(773) 436-4678
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
222Q00000X
IL
Other
Enumeration date
03/14/2009
Last updated
03/14/2009
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