Mr Gary Paul Wakefield, MSW LCSW BCD is a
Psychologist based in South Elgin, Illinois. Mr Gary Paul Wakefield is licensed to practice in Illinois (license number ) and his current practice location is
1497 North Lafox, South Elgin, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 697-4747.
NPI number for Mr Gary Paul Wakefield is 1972543668 and his current mailing address is 1497 North Lafox, South Elgin, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972543668.
Healthcare Provider's Profile
| Full Name | Mr Gary Paul Wakefield |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 1497 North Lafox, South Elgin, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972543668
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Mr Gary Paul Wakefield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972543668 | NPI | - | NPPES |
| 04572027 | Other | | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | (Illinois) | Secondary |
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. Mr Gary Paul Wakefield 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 |
|---|
Mr Gary Paul Wakefield, MSW LCSW BCD
1497 North Lafox,
South Elgin, IL 60177-1227
Ph: (847) 697-4747 | Mr Gary Paul Wakefield, MSW LCSW BCD
1497 North Lafox,
South Elgin, IL 60177-1227
Ph: (847) 697-4747 |
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