Giesela Grumbach, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149007783 Issued in IL

Practice address

2601 Lincoln Hwy Ste 101
Olympia Fields, IL 60461-1844

Phone

(773) 727-9417

NPI assigned

Oct 16, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Giesela Grumbach Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1720554876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18021 VISTA DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782940",
            "telephone_number": "773-412-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LINCOLN HWY STE 101",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611844",
            "telephone_number": "773-727-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMBACH",
        "first_name": "GIESELA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIESELA",
            "last_name": "GRUMBACH",
            "prefix": "DR.",
            "credential": "GIESELA GRUMBACHBLUE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kamille Greer, LPC
• Anthony M Grimaldi, DO
• Gerald Joseph Gripshover, LCSW
• Kimberly Ann Grospe, MD
• Nicholas Donald Gross
• Komlan Etonam Blanchon Guedze
• Mayela Araceli Guerrero
• Anand Kumar Gupta, M.D.
• Saisha Gupta, MD
• Brian Rees Haag, M.D.

• Clinical Social Worker in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.