Organization
SHIVROUP K. GREWAL, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVROUP GREWAL (CLINICAL PSYCHOLOGIST/OWNER)
(312) 508-3970
Entity
Organization
Contact information
Practice address
2724 N KEDZIE AVE, CHICAGO, IL 60647-1514
(312) 508-3970
Mailing address
2318 W HARRISON ST APT 4, CHICAGO, IL 60612-3674
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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