Provider Demographics
NPI:1639514110
Name:PYE, GAIL CLAUDETTE (MSCCC-SLP)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:CLAUDETTE
Last Name:PYE
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:MRS
Other - First Name:GAIL
Other - Middle Name:CLAUDETTE
Other - Last Name:PYE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPEECH PATHOLOGIST
Mailing Address - Street 1:11012 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-3928
Mailing Address - Country:US
Mailing Address - Phone:773-238-5300
Mailing Address - Fax:773-238-5343
Practice Address - Street 1:11012 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-3928
Practice Address - Country:US
Practice Address - Phone:773-238-5300
Practice Address - Fax:773-238-5343
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.005075235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist