Provider Demographics
NPI:1386213106
Name:GAMZE, BONNIE F (LCSW CADC)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:F
Last Name:GAMZE
Suffix:
Gender:F
Credentials:LCSW CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 N. ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 200W
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3977
Mailing Address - Country:US
Mailing Address - Phone:773-366-8166
Mailing Address - Fax:847-342-3031
Practice Address - Street 1:1655 N ARLINGTON HEIGHTS RD STE 200W
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3977
Practice Address - Country:US
Practice Address - Phone:773-366-8166
Practice Address - Fax:847-342-3031
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490004141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical