Fred Allen Gitles, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

778 W Frontage Rd
Suite 115
Northfield, IL 60093-1209

Phone

(847) 441-5910

Fax

(847) 441-5910

NPI assigned

Dec 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1891978979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 W FRONTAGE RD",
            "address_2": "SUITE 115",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931209",
            "telephone_number": "847-441-5910",
            "fax_number": "847-441-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 W FRONTAGE RD",
            "address_2": "SUITE 115",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931209",
            "telephone_number": "847-441-5910",
            "fax_number": "847-441-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITLES",
        "first_name": "FRED",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-001276",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Gao, LMT
• Bozena Garvey, MA
• Meredith Gentry
• Anthony James Geroulis, M.D.
• William David Gieseke, PH.D.
• Gretchen Witte Glader, L.C.S.W, PH.D
• Michael Jason Gladstein, ED.S.
• Krystal Glassman, LCPC
• GMC Dentistry LTD
• John Frederick Golan, MD

• Clinical Social Worker in Northfield, IL
• Providers in Northfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.