Provider Demographics
NPI:1467545020
Name:GULINO AND GULINO P.C.
Entity Type:Organization
Organization Name:GULINO AND GULINO P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:GULINO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-358-0707
Mailing Address - Street 1:1807 HICKS RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-1242
Mailing Address - Country:US
Mailing Address - Phone:847-358-0707
Mailing Address - Fax:847-854-5528
Practice Address - Street 1:1807 HICKS RD
Practice Address - Street 2:SUITE D
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-1242
Practice Address - Country:US
Practice Address - Phone:847-358-0707
Practice Address - Fax:847-854-5528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490003231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF100274440Medicare PIN
ILL40826Medicare UPIN