| Graston-grotheer Counseling Inc | |
|
636 Church St Ste 419b Evanston IL 60201-4508 | |
| (847) 475-3515 | |
| Not Available |
| Full Name | Graston-grotheer Counseling Inc |
|---|---|
| Speciality | Social Worker |
| Location | 636 Church St, Evanston, Illinois |
| Authorized Official Name and Position | Valerie Grotheer (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8474712505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graston-grotheer Counseling Inc 636 Church St Ste 419b Evanston IL 60201-4508 Ph: (847) 475-3515 | Graston-grotheer Counseling Inc 636 Church St Ste 419b Evanston IL 60201-4508 Ph: (847) 475-3515 |
| NPI Number | 1194185496 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 03/17/2016 |
| Medicare PECOS PAC ID | 4486950474 |
|---|---|
| Medicare Enrollment ID | O20160317001498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194185496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149001117 (Illinois) | Primary |
| Provider Name | Valerie Grotheer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134246325 PECOS PAC ID: 5395041388 Enrollment ID: I20160418001460 |
| Provider Name | Bill E Graston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366527624 PECOS PAC ID: 7416232392 Enrollment ID: I20170315001173 |
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