Dr. Richard J Grostern, MD
Ophthalmology in Chicago, IL. Individual provider (NPI-1).
NPI number1902881170
StatusActive
Last updated in NPPESJan 13, 2013
Details
- NPI
- 1902881170
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard J Grostern
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2005
- Last updated
- Jan 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 036097434 | IL | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 036097434 | IL |
Practice location
1725 W Harrison St Ste 918Chicago, IL 60612-3863
Phone 312-942-2734 · Fax 312-942-2156
Mailing address
1725 W Harrison St Ste 918Chicago, IL 60612-3863
Phone 312-942-2734
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