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Contact Information

COURTNEY GAINES
4440 W 95TH ST
OAK LAWN, IL60453-2600
 Phone: 708-684-5682
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for COURTNEY GAINES · (Female)

NPI # 1023857646
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2024
Last updated 08/20/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 135001251
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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