DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SERGIO VINICIO GRAJEDA LCSW, PH.D.

MEDICARE: DR. SERGIO VINICIO GRAJEDA LCSW, PH.D.
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
11041C0700XClinical Social Worker149.0072232IL

General Provider Information

NPI Number : 1689762734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SERGIO VINICIO GRAJEDA LCSW, PH.D.
Provider Business Mailing Address
First Line : 5109 W 85TH ST
Second Line :
City : BURBANK
State : IL
Zip : 60459-2714
Country : US
Telephone Number : 708-346-0113
Fax Number : 708-346-0113
Provider Business Practice Location Address
First Line : 715 LAKE ST STE 800
Second Line :
City : OAK PARK
State : IL
Zip : 60301-1417
Country : US
Telephone Number : 708-848-8145
Fax Number : 708-848-6176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1790749620 — MRS. JENNIFER C FROEMEL M.A., L.C.P.C.
Practice Location Address:
715 LAKE ST STE 800
OAK PARK, IL
60301-1417
Practice Phone: 312-343-7400
Practice Fax: 708-294-3699
1437563798 — INNOVATIVE COUNSELING PARTNERS LLC
Practice Location Address:
715 LAKE ST STE 806
OAK PARK, IL
60301-1417
Practice Phone: 312-343-7400
Practice Fax:
1285184291 — LISA KELLER
Practice Location Address:
715 LAKE ST STE 800
OAK PARK, IL
60301-1417
Practice Phone: 773-312-3601
Practice Fax:
1417490673 — OFELIA CONTRERAS
Practice Location Address:
715 LAKE ST STE 800
OAK PARK, IL
60301-1417
Practice Phone: 773-312-3612
Practice Fax:
1972015568 — AMY HART
Practice Location Address:
715 LAKE ST STE 800
OAK PARK, IL
60301-1417
Practice Phone: 773-312-3612
Practice Fax:
1902371230 — MS. CHELSIE SUZANNE BATKO LPC, R-DMT
Practice Location Address:
715 LAKE ST STE 800
OAK PARK, IL
60301-1417
Practice Phone: 847-894-4828
Practice Fax:

Directions to “ DR. SERGIO VINICIO GRAJEDA LCSW, PH.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.