Mrs Gwendolyn E Hale, LMT is a 
Massage Therapist based in Calumet City, Illinois. Mrs Gwendolyn E Hale is licensed to practice in Illinois (license number 227012529) and her current practice location is 
95 Paxton Ave, Calumet City, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(708) 654-4285.
NPI number for Mrs Gwendolyn E Hale is 1114410925 and her current mailing address is 95 Paxton Ave, Calumet City, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114410925.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mrs Gwendolyn E Hale | 
|---|
| Gender | Female | 
|---|
| Speciality | Massage Therapist | 
|---|
| Location | 95 Paxton Ave, Calumet City, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1114410925
- Provider Enumeration Date: 06/07/2018
- Last Update Date: 12/19/2020
 
		 
		 
Medical Identifiers
		Medical identifiers for Mrs Gwendolyn E Hale such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1114410925 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 225700000X | Massage Therapist | 227012529 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Gwendolyn E Hale is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Mrs Gwendolyn E Hale, LMT 95 Paxton Ave,
 Calumet City, IL 60409-1509
 Ph: (708) 654-4285
 | Mrs Gwendolyn E Hale, LMT 95 Paxton Ave,
 Calumet City, IL 60409-1509
 Ph: (708) 654-4285
 | 
		
		 
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