Provider Demographics
NPI:1699783803
Name:SATURDAY, GAYLE (LCSW)
Entity type:Individual
Prefix:
First Name:GAYLE
Middle Name:
Last Name:SATURDAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GAYLE
Other - Middle Name:
Other - Last Name:SCHULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:610 ARBOR CIR
Mailing Address - Street 2:
Mailing Address - City:LAKEMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60051-2212
Mailing Address - Country:US
Mailing Address - Phone:815-529-7002
Mailing Address - Fax:
Practice Address - Street 1:5404 W ELM ST STE H
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4007
Practice Address - Country:US
Practice Address - Phone:815-331-8768
Practice Address - Fax:815-331-8760
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149006722101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL393540Medicare ID - Type Unspecified