Provider Demographics
| NPI: | 1255888285 |
|---|---|
| Name: | GROCHOCINSKI, MICHELLE |
| Entity type: | Individual |
| Prefix: | |
| First Name: | MICHELLE |
| Middle Name: | |
| Last Name: | GROCHOCINSKI |
| Suffix: | |
| Gender: | F |
| Credentials: | |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 10001 GRAND AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | FRANKLIN PARK |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60131-2563 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 847-451-0330 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 10001 GRAND AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | FRANKLIN PARK |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60131-2563 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 847-451-0330 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2016-09-07 |
| Last Update Date: | 2016-09-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| 1030248 | Other | ILLINICARE HEALTH PLAN MMP | |
| 1030278 | Other | HEALTHSPRING OF ILLINOIS MMP | |
| 1020257 | Other | MOLINA HEALTHCARE OF ILLINOIS ICP | |
| 1020577 | Other | COMMUNITY CARE ALLIANCE IL ICP | |
| 1000264 | Other | HEALTH ALLIANCE CONNECT FHP | |
| 1020237 | Other | AETNA BETTER HEALTH INC ICP | |
| 1020247 | Other | ILLINICARE HEALTH PLAN INC ICP | |
| 1030198 | Other | MERIDIAN HEALTH PLAN INC MMP | |
| 1000194 | Other | MERIDIAN HEALTH PLAN INC VMC | |
| 1000565 | Other | COUNTYCARE FHP | |
| 1020567 | Other | COUNTYCARE ICP | |
| 1030108 | Other | HUMANA HEALTH PLAN INC MMP | |
| 1030258 | Other | MOLINA HEALTHCARE OF ILL MMP | |
| 1030268 | Other | HEALTH ALLIANCE CONNECT INC MMP | |
| 1000154 | Other | HARMONY HEALTH PLAN INC | |
| 1020107 | Other | HUMANA HEALTH PLAN INC ICP | |
| 1020267 | Other | HEALTH ALLIANCE CONNECT INC ICP | |
| 3000002 | Other | DASA MCO | |
| 1020287 | Other | BLUE CROSS BLUE SHIELD IPC | |
| 3000007 | Other | DCFS MCO | |
| 1000234 | Other | AETNA BETTER HEALTH INC FHP | |
| 1000254 | Other | MOLINA HEALTHCARE OF ILL FHP | |
| 1000525 | Other | FAMILY HEALTH NETWORK FHP | |
| 1020197 | Other | MERIDIAN HEALTH PLAN INC ICP | |
| 1020277 | Other | HEALTHSPRING OF ILLINOIS ICP | |
| 1030238 | Other | AETNA BETTER HEALTH INC MMP | |
| 1000244 | Other | ILLINICARE HEALTH PLAN INC FHP | |
| 1000284 | Other | BLUE CROSS BLUE SHIELD IL FHP | |
| 1030288 | Other | BLUE CROSS BLUE SHIELD MMP | |
| 3000004 | Other | DMH MCO |
