Provider Demographics
NPI:1285840207
Name:GRAWE, GEORGIA MARGARET X (MFA, ATR)
Entity Type:Individual
Prefix:MS
First Name:GEORGIA
Middle Name:MARGARET
Last Name:GRAWE
Suffix:X
Gender:F
Credentials:MFA, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 S PRESIDENT ST
Mailing Address - Street 2:UNIT 303
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-3223
Mailing Address - Country:US
Mailing Address - Phone:630-668-3987
Mailing Address - Fax:
Practice Address - Street 1:466 S PRESIDENT ST
Practice Address - Street 2:UNIT 303
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-3223
Practice Address - Country:US
Practice Address - Phone:630-668-3987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist