Individual
GRACE BERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 LAKE COOK RD STE 200, NORTHBROOK, IL 60062-1060
(847) 378-7241
Mailing address
4201 LAKE COOK RD STE 200, NORTHBROOK, IL 60062-1060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.016316
IL
Other
Enumeration date
01/11/2021
Last updated
11/06/2024
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