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Individual

DR. CHRISTOPHER LEE GROTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1750 W HARRISON ST, 319 RAWSON, CHICAGO, IL 60612-3825
(312) 942-5932
(312) 942-4990
Mailing address
1750 W HARRISON ST, 319 RAWSON, CHICAGO, IL 60612-3825
(312) 942-5932
(312) 942-4990

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0714236
IL
103TC0700X
Clinical Psychologist
0714236
IL

Other

Enumeration date
04/26/2007
Last updated
06/27/2011
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