Grayslake Medical Group, Llc

NPI 1437236015 - Internal Medicine - 207R00000X

NPI Details
NPI 1437236015
Enumeration Date 11/01/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT ROBERT
Position PRESIDENT
Phone (847) 548-8430
Fax (847) 548-9430
Practice Location
1475 E BELVIDERE RD
SUITE 312
GRAYSLAKE IL, 60030-2012, US
Phone (847) 548-8430
Fax (847) 548-9430
Business Location
1475 E BELVIDERE RD
SUITE 312
GRAYSLAKE IL, 60030-2012, US
Phone (847) 548-8430
Fax (847) 548-9430
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Grayslake Medical Group, Llc NPI is 1437236015, taxonomy code is 207R00000X Grayslake Medical Group, Llc physically located at 1475 E Belvidere Rd, Grayslake IL, 60030-2012. NPI Number 1033115704 has the healthcare provider type.

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1437236015 NPI number is provided on an as is basis without warranty of any kind. 1437236015 is maintained by the National Plan & Provider Enumeration System. The contents of Grayslake Medical Group, Llc are for informational purposes only.