Individual
MS. BERNADETTE ANN GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5150 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-8058
(847) 842-4167
Mailing address
416 MCHENRY AVE, CRYSTAL LAKE, IL 60014-7147
(815) 260-0131
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
056.006590
IL
Other
Enumeration date
05/29/2007
Last updated
04/01/2009
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