Deactivated NPI 1962577072 Deactivated / Inactive NPI Male Practitioner

Dr. Jack L Graller , MD

Psychologist - Psychoanalysis • Glencoe, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Graller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 22, 2006

NPI Deactivation Date February 22, 2023

Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Graller, MD was a registered Psychologist - Psychoanalysis practicing in Glencoe, IL. Throughout an active medical career spanning 17 years, Dr. Graller provided care at the practice location at 211 PARK AVE until profile deactivation on 2023-02-22.

Practice Location & Contact Primary Location

Practice Address

211 Park Ave

Glencoe, IL 60022

Telephone 3129443464

Fax 8478351264

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Psychoanalysis in Glencoe, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 45.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Glencoe, IL (10 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Psychoanalysis Primary Specialty

NUCC Taxonomy Code: 103TP0814X

A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated February 22, 2023

Record deactivated on February 22, 2023

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 211 PARK AVE, GLENCOE, IL 60022 (Tel: 3129443464)

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Updated Business Mailing Address July 08, 2007

Registered at 211 PARK AVE, GLENCOE, IL 60022 (Tel: 3129443464)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK GRALLER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist

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Initial NPI Registration & Enumeration November 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962577072

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 22, 2006

Last Update: July 08, 2007

Deactivation Date: February 22, 2023

Update or Correct Profile

Mailing Address

211 Park Ave

Glencoe, IL 60022

Phone: 3129443464

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.