Grunnet-Alden, Vicki
Grunnet-Alden, Vicki is an sole proprietor health care provider with primary practice located at 3301 Resource Pkwy Ste 3 , Dekalb IL 60115-5334. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grunnet-Alden, Vicki can be contacted via phone (630) 297-3617.Contact Information
Primary practice address
3301 Resource Pkwy Ste 3
Dekalb IL 60115-5334
Phone: (630) 297-3617
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.009358 | Illinois |
Profile Details
| NPI number | 1114080686 |
|---|---|
| LBN Legal business name | Grunnet-Alden, Vicki |
| Credentials | PH.D, LCSW, MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jan 6th, 2023 - about 3 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 | 1114080686 | NPPES |
| Illinois | Other | 2232366 | BLUE CROSS BLUE SHIELD |
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