Organization
I THINK I CAN LEARNING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GRYBINAS (OWNER)
(618) 398-4226
Entity
Organization
Contact information
Practice address
125 N RUBY LN, FAIRVIEW HEIGHTS, IL 62208-1926
(618) 398-4226
(618) 398-1759
Mailing address
125 N RUBY LN, FAIRVIEW HEIGHTS, IL 62208-1926
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145960
BCBS MO
MO
01
—
8220492
BCBS IL
IL
Enumeration date
05/02/2007
Last updated
08/22/2020
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