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Contact Information

GRETCHEN CONNER
202 N SCHUYLER AVE STE 205
KANKAKEE, IL60901-3601
 Phone: 815-348-4508
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for GRETCHEN CONNER · (Female)

NPI # 1407044472
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2007
Last updated 07/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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