Dr. Michael Barry Grover, M.D.
Psychiatry & Neurology, Psychiatry in Evanston, IL. Individual provider (NPI-1).
NPI number1619009875
StatusActive
Last updated in NPPESApr 30, 2018
Details
- NPI
- 1619009875
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Barry Grover
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2007
- Last updated
- Apr 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 036068860 | IL | Yes |
| 174400000X | Specialist | 36-068860 | IL |
Practice location
2340 Lincolnwood DrEvanston, IL 60201-2049
Phone 847-869-4912 · Fax 847-869-2848
Mailing address
2340 Lincolnwood DrEvanston, IL 60201-2049
Phone 847-869-4912 · Fax 847-869-2848
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