Individual
DR. KIM DELAYNE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 BUTTERFIELD RD, SUITE 101N, OAK BROOK, IL 60523-1234
(630) 586-0900
Mailing address
2625 BUTTERFIELD RD, SUITE 101N, OAK BROOK, IL 60523-1234
(630) 586-0900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009195
IL
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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