| Dennis A Grollo Mdsc | |
|
535 W Park Ave Libertyville IL 60048-2670 | |
| (847) 362-2311 | |
| (847) 362-2369 |
| Full Name | Dennis A Grollo Mdsc |
|---|---|
| Speciality | Family Medicine |
| Location | 535 W Park Ave, Libertyville, Illinois |
| Authorized Official Name and Position | Barbara Ann Grollo (BUSINESS MANAGER) |
| Authorized Official Contact | 8473622311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis A Grollo Mdsc 535 W Park Ave Libertyville IL 60048-2670 Ph: (847) 362-2311 | Dennis A Grollo Mdsc 535 W Park Ave Libertyville IL 60048-2670 Ph: (847) 362-2311 |
| NPI Number | 1487910220 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487910220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036057324 (Illinois) | Primary |
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