Organization
WOLFE-G, INC.
Active
Other names
Dawn W. Grdinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN W GRDINIC LCPC (PSYCHOTHERAPIST)
(773) 710-9332
Entity
Organization
Contact information
Practice address
1740 RIDGE AVE STE 200B, EVANSTON, IL 60201-5903
(773) 710-9332
Mailing address
1740 RIDGE AVE STE 200B, EVANSTON, IL 60201-5903
(773) 710-9332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180.009901
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13501992
CAQH
IL
Enumeration date
04/27/2018
Last updated
04/27/2018
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