Individual
GRACE PELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 W FRONTAGE RD STE 2215, NORTHFIELD, IL 60093-1228
(847) 848-0697
Mailing address
3446 N DAMEN AVE # 1, CHICAGO, IL 60618-6106
(815) 228-0782
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.016306
IL
101YP2500X
Professional Counselor
Primary
180.014034
IL
Other
Enumeration date
05/02/2021
Last updated
07/14/2022
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