Healthcare Provider Details

I. General information

NPI: 1215860291
Provider Name (Legal Business Name): GREEVES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W WACKER DR STE 3008
CHICAGO IL
60606-1217
US

IV. Provider business mailing address

211 W WACKER DR STE 3008
CHICAGO IL
60606-1217
US

V. Phone/Fax

Practice location:
  • Phone: 773-469-3862
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: GARY REEVES
Title or Position: LCPC
Credential:
Phone: 773-469-3862