Grissom, Tracy F.

Grissom, Tracy F. is an sole proprietor health care provider with primary practice located at 511 W Green St. , Urbana IL 61801-3942. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Grissom, Tracy F. can be contacted via phone (217) 337-1700.

Contact Information

Primary practice address
511 W Green St. Urbana IL 61801-3942
Phone: (217) 337-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1326268814
LBN Legal business name Grissom, Tracy F.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 19 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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