| Doctor Name: | PEGGY LIN GIBBLE |
| NPI Number: | 1013048636 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, CADC, MISA I |
| License Number: | 17392 |
| Business Practice Address: | 888 S Roselle Rd Schaumburg, IL - 601933965 |
| Business Phone Number: | 8478954191 |
| Business Fax Number: | |
| Mailing Address: | 888 S Roselle Rd, SCHAUMBURG |
| State: | IL |
| Postal Code: | 601933965 |
| Phone Number: | 8477326031 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 05/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 17392 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |