Provider Demographics
NPI:1922550276
Name:AKINS, GAIL LOUISE (MBA)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:LOUISE
Last Name:AKINS
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3734 W 82ND ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-2434
Mailing Address - Country:US
Mailing Address - Phone:773-719-0126
Mailing Address - Fax:773-582-4302
Practice Address - Street 1:3734 W 82ND ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-2434
Practice Address - Country:US
Practice Address - Phone:773-719-0126
Practice Address - Fax:773-582-4302
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-02
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant