Individual
DR. CHERYL GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.A.
Contact information
Practice address
820 S DAMEN AVE, 116A1, CHICAGO, IL 60612-3728
(312) 569-7204
Mailing address
820 S DAMEN AVE, 116A1, CHICAGO, IL 60612-3728
(312) 569-7204
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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