Provider Demographics
NPI:1114069879
Name:HOPE, GAYLE (MPT)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:
Last Name:HOPE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:GAYLE
Other - Middle Name:
Other - Last Name:SCHLOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:1953 N CLYBOURN AVE STE S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4991
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1953 N CLYBOURN AVE
Practice Address - Street 2:UNIT S
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-4945
Practice Address - Country:US
Practice Address - Phone:773-871-3100
Practice Address - Fax:773-871-7388
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070011818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist