| Dr. Michael H. Grousd Dds Ma Ltd | |
|
1 E Phillip Rd Suite 101 Vernon Hills IL 60061-1858 | |
| (847) 367-4190 | |
| (847) 367-5010 |
| Full Name | Dr. Michael H. Grousd Dds Ma Ltd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1 E Phillip Rd, Vernon Hills, Illinois |
| Authorized Official Name and Position | Linda L Mcmanamon (MANAGER) |
| Authorized Official Contact | 8473674190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Michael H. Grousd Dds Ma Ltd 1 E Phillip Rd Suite 101 Vernon Hills IL 60061-1858 Ph: (847) 367-4190 | Dr. Michael H. Grousd Dds Ma Ltd 1 E Phillip Rd Suite 101 Vernon Hills IL 60061-1858 Ph: (847) 367-4190 |
| NPI Number | 1972656890 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 12/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972656890 | NPI | - | NPPES |
| 80022385 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
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