Individual
GARY EILERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
526 W STATE ST, ROCKFORD, IL 61101-1214
(815) 968-9300
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178-007403
IL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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