Glenn Robert Groselak in Lemont - General Practice
Glenn Robert Groselak - NPI 1962679035
Glenn Robert Groselak is a General Practice in Lemont, Illinois. Glenn Robert Groselak practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glenn Robert Groselak is 1962679035. The last update date is 2008-05-08.
Glenn Robert Groselak's current location address is 15531 E 127th St, Lemont, Illinois. You can contact this provider via phone number 6302576350. The mailing address for Glenn Robert Groselak is 15531 E 127th St, Lemont, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Robert Groselak |
|---|---|
| Address | 15531 E 127th St, Lemont, Illinois |
| Phone Number | 6302576350 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1962679035 |
|---|---|
| Provider Enumeration Date | 2008-05-08 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 15531 E 127th St |
|---|---|
| City | Lemont |
| State | Illinois (IL) |
| Post Code | 604398555 |
| Phone Number | 6302576350 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19021314 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Glenn Robert Groselak by the Centers for Medicare & Medicaid Services?
The Glenn Robert Groselak has been issued the NPI (National Provider Identifier) 1962679035 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Glenn Robert Groselak is physically located?
The Glenn Robert Groselak is situated at the following address: 15531 E 127Th St, Lemont, IL 604398555.
What is Glenn Robert Groselak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glenn Robert Groselak's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962679035 to Glenn Robert Groselak?
The Centers for Medicare & Medicaid Services originally issued the 1962679035 to Glenn Robert Groselak on 2008-05-08.
When was the information pertaining to Glenn Robert Groselak most recently updated or revised?
The details related to Glenn Robert Groselak, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-08.