DR. JACK L GRALLER (NPI# 1962577072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962577072 |
| Entity Type | Individual |
| Full Name | DR. JACK L GRALLER |
| Credential | MD |
| Practice Address |
211 Park Ave Glencoe IL 60022 |
| Practice Telephone | 3129443464 |
| Practice Fax Number | 8478351264 |
| Mailing Telephone | 3129443464 |
| Mailing Fax Number | 8478351264 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
IL | Behavioral Health & Social Service Providers | |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0021600677 | 01 |
| Street Address |
211 PARK AVE |
| City | GLENCOE |
| State | IL |
| Zip Code | 60022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528406188 | Lauren J Schneider | Chiropractor | 378 Park Avenue, Suite 1d, Glencoe, IL 60022 | 2013-06-05 |
| 1356689897 | Christopher L. Johnston | Counselor | 706 Green Bay Road, Suite 3, Glencoe, IL 60022 | 2013-01-17 |
| 1447533039 | Inna Serman | Pharmacist | 63 N Greenbay Rd, Glenco, IL 60022 | 2011-09-21 |
| 1023263084 | Jacqueline Kessler-santiccioli | Speech-Language Pathologist | 725 Apple Tree Lane, Glencoe, IL 60022 | 2008-11-18 |
| 1639385628 | Michael P Bobrow | Dentist | 630 Vernon Ave, Suite C Lakeshore Dental Inc, Glencoe, IL 60022 | 2007-05-15 |
| 1073738423 | Meg Racenstein | Clinical Neuropsychologist | 630 N. Vernon Ave., Suite G, Glencoe, IL 60022 | 2007-04-13 |
| 1073650479 | Jerome Meyer Grunes | Psychiatry & Neurology | 110 Dell Place, Glencoe, IL 60022 | 2007-02-01 |
| 1457428740 | Anne Rousseau Douglas | Marriage & Family Therapist | 190 Maple Hill Road, Glencoe, IL 60022 | 2006-11-29 |
| 1194891952 | Shona Angle | Social Worker | 755 Greenwood Avenue, Glencoe, IL 60022 | 2006-11-25 |
| 1407932379 | Brooke Kayman Fox | Social Worker | 850 North Milwaukee Avenue, Suite 209, Vernon Hills, IL 60022 | 2006-10-31 |
| Find all providers in zip 60022 | ||||
| Taxonomy Code | 103TP0814X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Psychoanalysis |
| (1) A practitioner of psychoanalysis: methods of eliciting from patients their past emotional experiences and their role in influencing their current mental life, in order to discover the conflicts and mechanisms by which their pathologic mental state has been produced and to furnish hints for psychotherapeutic procedures, the method employs free association, recall and interpretation of dreams and interpretation of transference and resistance phenomena; (2) An individual who is educated with a doctor’s degree in psychoanalysis or psychology, trained at an established psychoanalytic institute, and practices or adheres to the principles of psychoanalysis. Psychoanalysis is a form of psychotherapy and a system of investigation for determining and understanding mental processes, which was originally conceived by Sigmund Freud. Psychoanalysis involves the analysis and interpretation of dreams, resistances, and transferences, and uses free association and catharsis. Clinical practice requires licensure. |
| Notes: Sources: (1) Dorlands Illustrated Medical Dictionary, 28th Edition, W.B. Saunders Company: Philadelphia, 1994, p. 1382; (2)American Psychological Association, Washington, DC, 1997, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801914106 | Norman Stanley Litowitz | Psychologist | 180 North Michigan Avenue, Suite 2220, Chicago, IL 60601-7478 | 2007-03-26 |
| 1982774675 | Fred Michael Levin | Psychologist | 111 North Wabash Avenue, #1022, Chicago, IL 60602-3132 | 2006-11-09 |
| 1114016797 | David Dean Brockman Sr. | Psychologist | 1020 Kenilworth Ln, Glenview, IL 60025-1918 | 2006-10-12 |
| 1326130709 | David Dean Brockman, M.d., S.c. | Psychologist | 1030 Kenilworth Ln, Glenview, IL 60025-1918 | 2006-09-29 |
| 1750576104 | Annette Dorothy Stillerman | Psychologist | 30 N Michigan Ave, 502, Chicago, IL 60602-3402 | 2007-09-10 |
| 1902018732 | Bonnie Ellenbogen Litowitz | Psychologist | 180 North Michigan Avenue, Suite 2220, Chicago, IL 60601-7478 | 2007-05-04 |
| 1407973530 | Allen M Siegel Md PC | Psychologist | 122 South Michigan Ave, 1301b, Chicago, IL 60603-6107 | 2007-03-23 |
| 1689790271 | Allen M Siegel | Psychologist | 111 N Wabash Ave, Suite 1734, Chicago, IL 60602-1903 | 2007-03-22 |
| 1639293798 | Douglas Clifton Wilkerson | Psychologist | 1 E Wacker Dr, Suite 630, Chicago, IL 60601-1802 | 2007-03-16 |
| 1447355060 | Melinda R. Stolley | Psychologist | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.