Earle Grosvenor, MA, LPC

NPI 1740554567 · on the registry since 2012 · sole proprietor

Practice

Address: 3420 W Peterson Ave
Suite 6
Chicago, IL 60659
Phone: (312) 527-1290
Fax: (773) 267-6113
Organisation at this address: Teresa A. Wanczyk
Christ Care Health Services Llc
Mediquest Diagnostic Center S.C
Advanced Diagnostic Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-02-24

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