Mr Paul Leonard Grindstaff, MD | |
750 East Terra Cotta Ave, Suite A, Crystal Lake, IL 60014 | |
(815) 455-1800 | |
(815) 455-1875 |
Full Name | Mr Paul Leonard Grindstaff |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 25 Years |
Location | 750 East Terra Cotta Ave, Crystal Lake, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811948854 | NPI | - | NPPES |
336071769 | Medicaid | IL | |
036110902 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 336071769 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Mr Paul Leonard Grindstaff, MD 750 E Terra Cotta Ave Ste A, Crystal Lake, IL 60014-3621 Ph: (815) 455-1800 | Mr Paul Leonard Grindstaff, MD 750 East Terra Cotta Ave, Suite A, Crystal Lake, IL 60014 Ph: (815) 455-1800 |
Dr. Edwin Vera Gumapas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25 S Virginia St, Ste 201, Crystal Lake, IL 60014 Phone: 815-356-0475 Fax: 815-356-0796 | |
Dr. Kathryn Schoenbrod, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014 Phone: 815-356-5050 Fax: 815-356-5094 | |
Jessica Wolf, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 360 Station Dr Ste 300, Crystal Lake, IL 60014 Phone: 815-455-1800 | |
Dr. Ramesh Babu Vemuri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 145 S Virginia St, Crystal Lake, IL 60014 Phone: 815-444-9999 Fax: 815-397-2712 | |
Mrs. Mohinder Chadha, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 815-455-7100 Fax: 815-455-3951 | |
Katherine Ann Godfrey, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014 Phone: 815-356-5050 Fax: 815-356-5094 | |
Venkata C Jampala, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 815-455-7100 Fax: 815-455-3951 |