Individual
DR. RONALD PETER GRAEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3633 W LAKE AVE, STE 201B, GLENVIEW, IL 60026-5802
(847) 724-2730
(847) 724-2738
Mailing address
3633 W LAKE AVE, STE 201B, GLENVIEW, IL 60026-5802
(847) 724-2730
(847) 724-2738
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-002640
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F300158965
MEDICARE PTAN
IL
Enumeration date
08/07/2006
Last updated
10/05/2017
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