Grossman, Ilysa Carrie

Grossman, Ilysa Carrie is an individual health care provider with primary practice located at 6918 Windsor Ave , Berwyn IL 60402. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grossman, Ilysa Carrie can be contacted via phone (708) 795-4800.

Contact Information

Primary practice address
6918 Windsor Ave Berwyn IL 60402
Phone: (708) 795-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1568543759
LBN Legal business name Grossman, Ilysa Carrie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers