Individual
MRS. JANET M GROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5732 N NEW HAMPSHIRE AVE, CHICAGO, IL 60631-3135
(773) 339-1236
Mailing address
5732 N NEW HAMPSHIRE AVE, CHICAGO, IL 60631-3135
(773) 339-1236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001627898
BCBS OF ILLINOIS
IL
Enumeration date
01/18/2007
Last updated
07/08/2007
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