Organization
STICKNEY TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER GRUNOW PSY.D. (ADMINISTRATOR)
(708) 424-9200
Entity
Organization
Contact information
Practice address
7745 LEAMINGTON AVE, BURBANK, IL 60459-1570
(708) 636-8850
Mailing address
5635 STATE RD, BURBANK, IL 60459-2051
(708) 424-9200
(708) 424-9267
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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