KATHY JEAN GRZELAK
NPI 1871309559
Counselor - Professional in Chicago, IL
Active since December 06, 2024
About Kathy Jean Grzelak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHY JEAN GRZELAK (NPI 1871309559) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.003927) and active in the NPI registry since December 2024.
NPPES Registry Identity
NPI1871309559
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHY JEAN GRZELAK
Location Address1901 W CARROLL AVE STE 205Chicago, IL 60612-2401
Mailing Address1901 W Carroll Ave Ste 205Chicago, IL 60612-2401 · (773) 292-4076
Phone(773) 292-4076
Sole ProprietorNo
Enumeration DateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1871309559 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.003927
1901 W CARROLL AVE STE 205, Chicago, IL 60612
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871309559, enumerated as an "individual" on December 06, 2024.
The provider is located at 1901 W CARROLL AVE STE 205 CHICAGO, IL 60612 and the phone number is (773) 292-4076.
Counselor with taxonomy code 101YP2500X and a focus in Professional.