Gerard Dobkowski, MA LPC CPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.003750 Issued in IL

Practice address

799 Roosevelt Rd. BLDG. 4
Suite 316
Glen Ellyn, IL 60137

Phone

(630) 688-7031

NPI assigned

Jul 29, 2008

Sex

Male

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1508022633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 LACEY AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321366",
            "telephone_number": "630-963-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD. BLDG. 4",
            "address_2": "SUITE 316",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-688-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBKOWSKI",
        "first_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "MA LPC CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.003750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alice S Douglas, PHARMACIST

• Professional Counselor in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.