Richard Grevengoed in South Holland - Professional

Richard Grevengoed - NPI 1386770238

Richard Grevengoed is a Professional in South Holland, Illinois. Richard Grevengoed practices all healthcare services and medical treatments related to Professional. The NPI Number for Richard Grevengoed is 1386770238. The last update date is 2007-07-08.

Richard Grevengoed's current location address is 559. E.161st Place, South Holland, Illinois. You can contact this provider via phone number 7084746211. The mailing address for Richard Grevengoed is 559. E.161st Place, South Holland, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Grevengoed
Address 559. E.161st Place, South Holland, Illinois
Phone Number 7084746211
Fax Number
Sole Proprietor Y
Credentials L.C.P.C.

NPI Number Detail

NPI Number 1386770238
Provider Enumeration Date 2007-02-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 559. E.161st Place
City South Holland
State Illinois (IL)
Post Code 60473
Phone Number 7084746211
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 1803926
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Richard Grevengoed

What is the unique identifier code issued to Richard Grevengoed by the Centers for Medicare & Medicaid Services (CMS)?

The Richard Grevengoed has been assigned the NPI (National Provider Identifier) 1386770238. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Richard Grevengoed?

The Richard Grevengoed is situated at 559. E.161St Place, in the city of South Holland, state of IL, with the zip code 60473.

What is Richard Grevengoed's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Richard Grevengoed is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.

On what date was the 1386770238 assigned to Richard Grevengoed?

The Richard Grevengoed was issued its 1386770238 on 2007-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Richard Grevengoed most recently updated or revised?

The information pertaining to Richard Grevengoed, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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