Individual
DR. SHANNON GRITZENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3815 HIGHLAND AVE, DOWNERS GROVE, IL 60515-1500
(630) 484-1900
Mailing address
3815 HIGHLAND AVE, DOWNERS GROVE, IL 60515-1500
(630) 484-1900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36-111910
IL
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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