Individual
GINA MICHELLE GRILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
203 N THIRD ST, ASHKUM, IL 60911-6040
(815) 698-2212
Mailing address
127 N WOODWORTH RD, MILFORD, IL 60953-6254
(815) 592-5980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012682
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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