Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center for Grief and Traumatic Loss, LLC

Organization Clinical Psychologist · NPI 1366655813

Center for Grief and Traumatic Loss, LLC is a Clinical Psychologist in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1144 Harms Ave
Libertyville, IL 60048-2524
Phone: (847) 680-0279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (IL)

Record details

NPI number1366655813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allan Botkin — Director · (847) 680-0279
NPI enumeratedMay 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1144 Harms Ave, Libertyville, IL 60048-2524

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