Shivroup K. Grewal, Psyd, Llc | |
2724 N Kedzie Ave Chicago IL 60647-1514 | |
(312) 508-3970 | |
Not Available |
Full Name | Shivroup K. Grewal, Psyd, Llc |
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Speciality | Psychologist - Clinical |
Location | 2724 N Kedzie Ave, Chicago, Illinois |
Authorized Official Name and Position | Shivroup Grewal (CLINICAL PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 3125083970 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shivroup K. Grewal, Psyd, Llc 2318 W Harrison St Apt 4 Chicago IL 60612-3674 Ph: () - | Shivroup K. Grewal, Psyd, Llc 2724 N Kedzie Ave Chicago IL 60647-1514 Ph: (312) 508-3970 |
NPI Number | 1487128559 |
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Provider Enumeration Date | 01/11/2019 |
Last Update Date | 01/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487128559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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