JAMES STEPHAN GROT

DIXON, IL
NPI1376716506
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071.001810)
Enumeration Date2008-04-09
Last Update Date2008-04-09
Business Address
Dr. JAMES STEPHAN GROT
500 ANCHOR RD
DIXON, IL 61021-8829
Phone number: 815-288-6691
Mailing Address
Dr. JAMES STEPHAN GROT
2240 SPANGLER CT
DIXON, IL 61021-9037
Phone number: 815-652-3343
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