Individual
DEREK GRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-3312
(312) 770-2557
Mailing address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-3312
(312) 770-2557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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