Dr Lion Grenader, DMD is a
Dentist based in Winthrop Harbor, Illinois. Dr Lion Grenader is licensed to practice in Illinois (license number 019031298) and his current practice location is
644 Sheridan Rd # D, Winthrop Harbor, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 872-5626.
NPI number for Dr Lion Grenader is 1720501380 and his current mailing address is 400 Penny Ln, Grayslake, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720501380.
Healthcare Provider's Profile
Full Name | Dr Lion Grenader |
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Gender | Male |
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Speciality | Dentist |
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Location | 644 Sheridan Rd # D, Winthrop Harbor, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720501380
- Provider Enumeration Date: 07/25/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Dr Lion Grenader such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720501380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019031298 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lion Grenader is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lion Grenader, DMD 400 Penny Ln, Grayslake, IL 60030-3737 Ph: () - | Dr Lion Grenader, DMD 644 Sheridan Rd # D, Winthrop Harbor, IL 60096-1350 Ph: (847) 872-5626 |
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