Provider Information for 1588158000
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KATHLEEN GRIFFIN LCPC
Sex: Female
NPI: 1588158000
Last Updated: 2023-09-22
Certification Date: 2023-09-22
Certification Date: 2023-09-22
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1588158000 | ||||||||||||||
| Enumeration Date | 2018-06-18 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | PO BOX 5302 OAK BROOK, IL 60522-5302 United States Phone: 312-493-7359 | Fax: | ||||||||||||||
| Primary Practice Address | 2625 BUTTERFIELD RD STE 138S OAK BROOK, IL 60523-1244 United States Phone: 312-493-7359 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | 640 S WASHINGTON ST STE 180 | ||||||||||||||
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