Provider Demographics
NPI:1760110522
Name:BEKIELEWSKI, GABRIELA RODRIGUEZ
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:RODRIGUEZ
Last Name:BEKIELEWSKI
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 1:2131 SUSANNA WAY
Mailing Address - Street 2:
Mailing Address - City:CREST HILL
Mailing Address - State:IL
Mailing Address - Zip Code:60403-0802
Mailing Address - Country:US
Mailing Address - Phone:815-351-4486
Mailing Address - Fax:
Practice Address - Street 1:2131 SUSANNA WAY
Practice Address - Street 2:
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60403-0802
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist