Search › Illinois › 101YP2500X
Richard Grevengoed, L.C.P.C
NPI 1386770238 · on the registry since 2007 · sole proprietor
Practice
- Address
- 559 E 161st Pl
South Holland, IL 60473 - Phone
- (708) 474-6211
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois