Individual
GRANT MICHAEL ANIXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
450 SKOKIE BLVD STE 503, NORTHBROOK, IL 60062-7913
(847) 250-7153
Mailing address
450 SKOKIE BLVD STE 503, NORTHBROOK, IL 60062-7913
(847) 250-7153
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.129415
IL
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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