person
Nina Gryglas
Mental Health Counselor in Bannockburn, Illinois
NPI 1104565050

Nina Gryglas is a Mental Health Counselor based in Bannockburn, IL and is specialized in Mental Health. Nina Gryglas practices in Bannockburn, IL. The NPI Number for Nina Gryglas is 1104565050 and holds a License No. 150.107662 (Illinois).

The current practice location address for Nina Gryglas is 2211B Lakeside Dr, Bannockburn, IL and can be reached out via phone at 847-217-9381.

Location: 2211B Lakeside Dr, Bannockburn, IL, 60015-1265
person
Provider Profile Details
NPI Number
1104565050
Provider Name
Nina Gryglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
2211B Lakeside Dr, Bannockburn, IL, 60015-1265
Phone Number
847-217-9381
Fax Number
Provider Enumeration Date
05/31/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11-3677589 01 IL LSW
150.107662 01 IL LSW
institution
Provider Business Practice Location Address Details
Address
2211B Lakeside Dr
City
State
Zip
60015-1265
Phone Number
847-217-9381
Fax Number
person
Provider Business Mailing Address Details
Address
2211B Lakeside Dr
City
State
Zip
60015-1265
Phone Number
847-217-9381
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
150.107662 (Illinois)
Definition
Definition to come...
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