Gryll, Steven Larry
Gryll, Steven Larry is an sole proprietor health care provider with primary practice located at 676 N Saint Clair St Suite 1785, Chicago IL 60611-2927. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gryll, Steven Larry can be contacted via phone (312) 649-1054.Contact Information
Primary practice address
676 N Saint Clair St Suite 1785
Chicago IL 60611-2927
Phone: (312) 649-1054
Fax: (312) 573-1919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Illinois |
Profile Details
| NPI number | 1689623787 |
|---|---|
| LBN Legal business name | Gryll, Steven Larry |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689623787 | NPPES |
| Illinois | Other | 5632281 | AETNA |
| Illinois | Other | 016-72606 | AETNA |
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