Individual
DR. DOMINIC JOSEPH GRISAFE II
Active
Individual
DR. DOMINIC JOSEPH GRISAFE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1962197160
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2023
Last updated
09/11/2023
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