Search › Illinois › 1041C0700X
Gemillia Staple, LCSW
NPI 1497275374 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1950 W Roosevelt Rd
Chicago, IL 60608 - Phone
- (312) 433-3152
- Organisation at this address
- Illinois Center For Rehabilitation And Education
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 5410 S Hermitage Ave, Chicago, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
1041S0200X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois