Kristen Michelle Granchalek LCSW

NPI 1790091007 - Social Worker - 1041C0700X

NPI Details
NPI 1790091007
Gender Female
Enumeration Date 08/24/2010
Last Updated 04/08/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
201 E HURON ST
SUITE 11-100
CHICAGO IL, 60611-3197, US
Phone (312) 291-1208
Fax (312) 926-3709
Business Location
201 E HURON ST
SUITE 11-100
CHICAGO IL, 60611-3197, US
Phone (312) 291-1208
Fax (312) 926-3709
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.015832
Remove 1790091007 NPI Number
 

According to our database, Kristen Michelle Granchalek LCSW NPI is 1790091007, taxonomy code is 1041C0700X and license number is 149.015832, license state is located at Illinois. Kristen Michelle Granchalek LCSW physically located at 201 E Huron St, Chicago IL, 60611-3197. NPI Number Kristen Michelle Granchalek LCSW has the Individual type.

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1790091007 NPI number is provided on an as is basis without warranty of any kind. 1790091007 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen Michelle Granchalek LCSW are for informational purposes only.