Individual
CORY JAMES GRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 995-3680
Mailing address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 995-3680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.024766
IL
385H00000X
Respite Care
—
IL
Other
Enumeration date
03/16/2015
Last updated
09/06/2022
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