Individual
MS. JENNY ELISABETH GRANSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BUCCANEER DR APT 5, SCHAUMBURG, IL 60173-5214
(847) 293-3331
Mailing address
1005 BUCCANEER DR APT 5, SCHAUMBURG, IL 60173-5214
(847) 293-3331
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2479988
IL
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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