MEDICARE: ERIN BRUMFIELD GRIMA LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	180007253	IL

General Provider Information

NPI Number	:	1508146218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN BRUMFIELD GRIMA LCPC

Provider Business Mailing Address
First Line	:	250 S IL ROUTE 59
Second Line	:
City	:	BARTLETT
State	:	IL
Zip	:	60103-1648
Country	:	US
Telephone Number	:	306-483-5799
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 S IL ROUTE 59
Second Line	:
City	:	BARTLETT
State	:	IL
Zip	:	60103-1648
Country	:	US
Telephone Number	:	630-483-5799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2011
Last Update Date	:	04/08/2025

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Directions to “ ERIN BRUMFIELD GRIMA LCPC” Practice Location

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