| Gryzbek Therapy Services Llc | |
|
1979 N Mill St Ste 204 Naperville IL 60563-8472 | |
| (630) 474-1171 | |
| (833) 218-8811 |
| Full Name | Gryzbek Therapy Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1979 N Mill St Ste 204, Naperville, Illinois |
| Authorized Official Name and Position | Joseph Gryzbek (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6304741171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gryzbek Therapy Services Llc 1979 N Mill St Ste 204 Naperville IL 60563-8472 Ph: (630) 474-1171 | Gryzbek Therapy Services Llc 1979 N Mill St Ste 204 Naperville IL 60563-8472 Ph: (630) 474-1171 |
| NPI Number | 1649778994 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 3476886722 |
|---|---|
| Medicare Enrollment ID | O20190531001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649778994 | NPI | - | NPPES |
| Provider Name | Joseph Thomas Gryzbek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538513213 PECOS PAC ID: 7315232121 Enrollment ID: I20160818000370 |
| Provider Name | Sarah Elizabeth Petzold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477183739 PECOS PAC ID: 3870936131 Enrollment ID: I20240205000184 |
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