| Doctor Name: | LAUREN GUMBINER |
| NPI Number: | 1144592726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 149.014827 |
| Business Practice Address: | 552 Lincoln Ave Suite 205 Winnetka, IL - 600932353 |
| Business Phone Number: | 8479204620 |
| Business Fax Number: | |
| Mailing Address: | 3452 N Bell Ave, #2 CHICAGO |
| State: | IL |
| Postal Code: | 606186002 |
| Phone Number: | 7738919623 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2012 |
| NPI Last Update Date: | 01/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149.014827 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |