JACK WILLIAM GROSKOPF

DEKALB, IL
NPI1568154938
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-05-24
Last Update Date2023-05-24
Business Address
JACK WILLIAM GROSKOPF
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
Mailing Address
JACK WILLIAM GROSKOPF
PO BOX 1109
DEKALB, IL 60115-7109
Phone number: 815-756-4875
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