Individual
MR. GREGORY THOMAS OSWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD.
Contact information
Practice address
24012 W RENWICK RD, UNIT 204A, PLAINFIELD, IL 60544-8731
(815) 676-4688
(815) 676-4498
Mailing address
24012 W RENWICK RD, UNIT 204A, PLAINFIELD, IL 60544-8731
(815) 676-4688
(815) 676-4498
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.007747
IL
103TC0700X
Clinical Psychologist
Primary
071.007747
IL
Other
Enumeration date
08/27/2008
Last updated
01/06/2015
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