Gail Faulkner

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

222Q00000X Issued in IL

Practice address

7143 S Richmond St
Chicago, IL 60629-3010

Phone

(312) 927-0704

Fax

(773) 436-4678

NPI assigned

Mar 14, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236988800000",
    "number": "1225279649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7143 S RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293010",
            "telephone_number": "312-927-0704",
            "fax_number": "773-436-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7143 S RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293010",
            "telephone_number": "312-927-0704",
            "fax_number": "773-436-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "GAIL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "222Q00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Faulconer, MD
• Aaron Faulk, DMD
• Annalyse Faulk, PA-C
• Maggie Faulkenberry, M.ED.
• Celeste Tanika Faulkner, LPC
• Grace Willert Faulkner, MD
• Kyle Faulkner
• Marlon Faulkner
• Rhonda Ann Faulkner, PH.D.
• Shakeela Faulkner

• Early Intervention Provider Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.