Vondrak, Roberta Shirley Gruntorad
Vondrak, Roberta Shirley Gruntorad is an individual health care provider with primary practice located at 13300 S Rte 59 Ste B4, Plainfield IL 60585. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Vondrak, Roberta Shirley Gruntorad can be contacted via phone (815) 577-8970.Contact Information
Primary practice address
13300 S Rte 59 Ste B4
Plainfield IL 60585
Phone: (815) 577-8970
Fax: (815) 577-8988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 20287 | Illinois |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1184731341 |
|---|---|
| LBN Legal business name | Vondrak, Roberta Shirley Gruntorad |
| Credentials | LCPC CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184731341 | NPPES |
| Illinois | Other | 09932324 | BCBS |
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