Provider Demographics
NPI:1578950135
Name:AALDERS, GINA
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:AALDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 W ARCHER AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:IL
Mailing Address - Zip Code:60501-1218
Mailing Address - Country:US
Mailing Address - Phone:708-995-3724
Mailing Address - Fax:
Practice Address - Street 1:7420 W ARCHER AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:IL
Practice Address - Zip Code:60501-1218
Practice Address - Country:US
Practice Address - Phone:708-995-3724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor