Gryll, Steven Larry

Gryll, Steven Larry is an sole proprietor health care provider with primary practice located at 676 N Saint Clair St Suite 1785, Chicago IL 60611-2927. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gryll, Steven Larry can be contacted via phone (312) 649-1054.

Contact Information

Primary practice address
676 N Saint Clair St Suite 1785 Chicago IL 60611-2927
Phone: (312) 649-1054
Fax: (312) 573-1919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois

Profile Details

NPI number 1689623787
LBN Legal business name Gryll, Steven Larry
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1689623787 NPPES
Illinois Other 5632281 AETNA
Illinois Other 016-72606 AETNA

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