Deanne Marie Gustafson, - Psychologist in La Grange, IL

Deanne Marie Gustafson, is a Psychologist - School based in La Grange, Illinois. Deanne Marie Gustafson is licensed to practice in Illinois (license number 1884039) and her current practice location is 1301 W Cossitt Ave, La Grange, Illinois. She can be reached at her office (for appointments etc.) via phone at (708) 354-5730.

NPI number for Deanne Marie Gustafson is 1104423409 and her current mailing address is 17200 Teakwood Dr, Tinley Park, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104423409.

Contact Information

Deanne Marie Gustafson,
1301 W Cossitt Ave,
La Grange, IL 60525-2145
(708) 354-5730
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDeanne Marie Gustafson
GenderFemale
SpecialityPsychologist - School
Location1301 W Cossitt Ave, La Grange, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104423409
  • Provider Enumeration Date: 10/08/2020
  • Last Update Date: 10/08/2020

Medical Identifiers

Medical identifiers for Deanne Marie Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104423409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 1884039 (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. Deanne Marie Gustafson 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 AddressPractice Location Address
Deanne Marie Gustafson,
17200 Teakwood Dr,
Tinley Park, IL 60487-5406

Ph: (708) 536-8874
Deanne Marie Gustafson,
1301 W Cossitt Ave,
La Grange, IL 60525-2145

Ph: (708) 354-5730

Reviews and Comments


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