Kaileen Banaszak Gaumer
Kaileen Banaszak Gaumer is a Mental Health Counselor in Dixon, Illinois. Qualified in 2007, 19 years ago. Practices with Vitae Health Medical Illinois, PLLC, a 215-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 19
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
629 N Galena Ave Ste 120Dixon, IL 61021-1664
Phone: (815) 288-1235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 178.005831 (IL) |
|---|
Record details
| NPI number | 1093402984 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2023 |
| Last updated in NPPES | April 20, 2023 |
| Certification date | April 20, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Vitae Health Medical Illinois, Pllc — 215 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Dixon
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Lucinda Carey, LPC
325 Il Route 2, Dixon, IL 61021-9118 · (815) 284-6611
-
MS. Jean M Cheever, RN
325 Il Route 2, Dixon, IL 61021-9118 · (815) 284-6611
-
Stephanie Christian, LPC
325 Il Route 2, Dixon, IL 61021-9118 · (815) 284-6611
-
MS. Kimberly S Devos, LCPC
905 Walton Rd, Dixon, IL 61021-8347 · (815) 274-1205
-
James Hagler
2600 N Brinton Ave, Dixon, IL 61021-9532 · (815) 288-5561
-
Steven Hudzik, LCPC, PHD
325 Il Route 2, Dixon, IL 61021-9118 · (815) 284-6611
-
Sawyer Jade Kolaczkowski, LPC
325 Il Route 2, Dixon, IL 61021-9118 · (815) 284-6611
-
Victoria Manheim
115 E 1st St Ste 120, Dixon, IL 61021-3023 · (815) 440-0482