Organization Active NPI

Ann Julia Gerut LCSW, Inc.

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1255604187
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149007059 Issued in IL
Legal business name
ANN JULIA GERUT LCSW, INC.
Practice address
801 South Blvd
Suite 8
Oak Park, IL 60302-2860
Phone
(312) 925-8737
Fax
(708) 524-2709
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Ann Julia Gerut, LCSW
Title
Psychotherapist
Phone
(312) 925-8737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149007059 IL Primary

Addresses

Primary practice location

801 South Blvd
Suite 8
Oak Park, IL 60302-2860

Mailing address

611 N Cuyler Ave
Oak Park, IL 60302-1702
Phone (312) 925-8737

National Provider Directory

National Provider Directory

Locations

801 South Blvd
Ste 8
Oak Park, IL 60302
Phone (312) 925-8737

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1255604187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021702",
            "telephone_number": "312-925-8737",
            "fax_number": "708-524-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SOUTH BLVD",
            "address_2": "SUITE 8",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022860",
            "telephone_number": "312-925-8737",
            "fax_number": "708-524-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN JULIA GERUT LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "GERUT",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "312-925-8737",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.