Provider Demographics
NPI:1962722066
Name:EPLEY, GAIL J
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:J
Last Name:EPLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15421 S CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-1459
Mailing Address - Country:US
Mailing Address - Phone:815-577-2794
Mailing Address - Fax:
Practice Address - Street 1:15421 S CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-1459
Practice Address - Country:US
Practice Address - Phone:815-577-2794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist