Individual
GAIL ELLEN GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
200 E DELAWARE PL, 21 C, CHICAGO, IL 60611-1911
(312) 664-6106
Mailing address
200 E DELAWARE PL, 21C, CHICAGO, IL 60611-1911
(312) 664-6106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146-005431
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G43028543966
ILLINOIS LICENSE
IL
Enumeration date
12/19/2012
Last updated
12/19/2012
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