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Jack William Groskopf
Mental Health Counselor in Dekalb, Illinois
NPI 1568154938

Jack William Groskopf is a Mental Health Counselor based in Dekalb, IL and is specialized in Mental Health. Jack William Groskopf practices in Dekalb, IL. The NPI Number for Jack William Groskopf is 1568154938 and holds a License No. (Illinois).

The current practice location address for Jack William Groskopf is 12 Health Services Dr, Dekalb, IL and can be reached out via phone at 815-756-4875.

Location: 12 Health Services Dr, Dekalb, IL, 60115-7109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568154938
Provider Name
Jack William Groskopf
Credential
Provider Entity Type
Individual
Gender
Male
Address
12 Health Services Dr, Dekalb, IL, 60115-7109
Phone Number
815-756-4875
Fax Number
Provider Enumeration Date
05/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12 Health Services Dr
City
Dekalb
State
Illinois
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
person
Provider Business Mailing Address Details
Address
12 Health Services Dr
City
Dekalb
State
Illinois
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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