Provider Demographics
NPI:1679686125
Name:GERUT, ANN JULIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:JULIA
Last Name:GERUT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 N CUYLER AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1702
Mailing Address - Country:US
Mailing Address - Phone:312-782-3888
Mailing Address - Fax:312-782-2901
Practice Address - Street 1:55 E WASHINGTON ST
Practice Address - Street 2:2700
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2103
Practice Address - Country:US
Practice Address - Phone:312-782-3888
Practice Address - Fax:312-782-2901
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical