Grande, Dianne L

Grande, Dianne L is an sole proprietor health care provider with primary practice located at 335 N River St Suite 210, Batavia IL 60510-2386. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grande, Dianne L can be contacted via phone (630) 406-5493.

Contact Information

Primary practice address
335 N River St Suite 210 Batavia IL 60510-2386
Fax: (630) 879-6806
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-004183 Illinois

Profile Details

NPI number 1669581724
LBN Legal business name Grande, Dianne L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Sep 29th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669581724 NPPES
Illinois Other 2619 MEDICARE PTAN

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