Search › Illinois › 103T00000X
Roger Gronau, PHD
NPI 1992704225 · on the registry since 2005
Practice
- Address
- 527 W South St
Woodstock, IL 60098 - Phone
- (815) 338-9199
- Fax
- (815) 338-9205
- Organisation at this address
- Memorial Medical Center
Memorial Medical Center
Mchenry County Mental Health BoardInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103T00000X
- Licence states on file
- WI, IL
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