Individual
ANITA GROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1580 N NORTHWEST HWY, SUITE 111-G, PARK RIDGE, IL 60068-1444
(708) 925-3540
Mailing address
4707 N OKETO AVE, HARWOOD HEIGHTS, IL 60706-4612
(708) 925-3540
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.005177
IL
Other
Enumeration date
12/18/2013
Last updated
01/10/2016
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