Steven Larry Gryll in Chicago - Psychologist
Steven Larry Gryll - NPI 1689623787
Steven Larry Gryll is a Psychologist in Chicago, Illinois. Steven Larry Gryll practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Steven Larry Gryll is 1689623787. The last update date is 2007-07-08.
Steven Larry Gryll's current location address is 676 N Saint Clair St, Chicago, Illinois. You can contact this provider via phone number 3126491054 and fax number 3125731919. The mailing address for Steven Larry Gryll is 676 N Saint Clair St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Larry Gryll |
|---|---|
| Address | 676 N Saint Clair St, Chicago, Illinois |
| Phone Number | 3126491054 |
| Fax Number | 3125731919 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1689623787 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 676 N Saint Clair St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606112927 |
| Phone Number | 3126491054 |
| Fax Number | 3125731919 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5632281 | IL | AETNA | |
| 016-72606 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Steven Larry Gryll by the Centers for Medicare & Medicaid Services?
The Steven Larry Gryll has been assigned the NPI (National Provider Identifier) 1689623787. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Steven Larry Gryll is geographically located?
The Steven Larry Gryll is physically situated at the following location: 676 N Saint Clair St, Chicago, IL, 606112927.
What is the Steven Larry Gryll's area of specialization and corresponding taxonomy classification?
The Steven Larry Gryll's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689623787 to Steven Larry Gryll?
The Centers for Medicare & Medicaid Services originally issued the 1689623787 to Steven Larry Gryll on 2006-05-08.
As of what date were the details related to Steven Larry Gryll most recently updated or revised?
The information pertaining to Steven Larry Gryll, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.