DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY SAMUEL SHUNK, MSW LCSW

Active Sole Proprietor

Clinical Social Worker · LA GRANGE PARK, IL

Registration Details

NPI Number
1972793941
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2007 (18.771735917742 yrs)
Last Updated
May 21, 2012
License
149003823 (IL)
Sole Proprietor
Yes

Practice Information

Address
427 N BRAINARD AVE
LA GRANGE PARK, IL, 605261809
Browse IL providers · Browse ZIP 60526
Phone
3128100011
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LA GRANGE PARK, IL

Name Credential NPI
ERIN SHANNON LCSW 1225320823
KAREN S FISHER LCSW 1356891360
MR. RYAN WEINSTOCK LCSW 1447748389
KAROLINA LIEPONIS 1891310702
TAYLOR J UNDERWOOD 1184235541
GINA MARGARET CANERDAY 1194438069
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.