Provider Demographics
NPI:1972620037
Name:GILBERT, SHARON JEAN (MS)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:JEAN
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1776 LEGACY CIR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1642
Mailing Address - Country:US
Mailing Address - Phone:630-433-6639
Mailing Address - Fax:630-355-8814
Practice Address - Street 1:1776 LEGACY CIR
Practice Address - Street 2:SUITE 116
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1642
Practice Address - Country:US
Practice Address - Phone:630-433-6639
Practice Address - Fax:630-355-8814
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-003734101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional