Individual provider · NPI-1
Dennis R Groothuis, MD
Psychiatry & Neurology, Neurology · Evanston, IL
NPI number1093874539
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1093874539
- Entity type
- Individual (NPI-1)
- Name
- Dennis R Groothuis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 036-047669 | IL | Yes |
Practice location
2650 Ridge AveNeurology Burch 309
Evanston, IL 60201-1718
Phone 847-570-2570 · Fax 847-570-1934
Mailing address
2650 Ridge AveEvanston Hospital
Evanston, IL 60201-1718
Phone 847-570-1206 · Fax 847-570-1248
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