Mitchell Stuart Grobman in Libertyville - Specialist
Mitchell Stuart Grobman - NPI 1073556056
Mitchell Stuart Grobman is a Specialist in Libertyville, Illinois. Mitchell Stuart Grobman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mitchell Stuart Grobman is 1073556056. The last update date is 2022-03-09.
Mitchell Stuart Grobman's current location address is 1900 Hollister Dr, Libertyville, Illinois. You can contact this provider via phone number 8475490055 and fax number 8475490404. The mailing address for Mitchell Stuart Grobman is 1900 Hollister Dr, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Stuart Grobman |
|---|---|
| Address | 1900 Hollister Dr, Libertyville, Illinois |
| Phone Number | 8475490055 |
| Fax Number | 8475490404 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073556056 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2022-03-09 |
Provider Mailing Address Detail
| Address | 1900 Hollister Dr |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600485233 |
| Phone Number | 8475490055 |
| Fax Number | 8475490404 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 036-084209 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36084209 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mitchell Stuart Grobman?
The Mitchell Stuart Grobman has been issued the NPI (National Provider Identifier) 1073556056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mitchell Stuart Grobman's facilities are geographically located?
The facilities of Mitchell Stuart Grobman are physically situated at the following location: 1900 Hollister Dr, Libertyville, IL, 600485233.
What is Mitchell Stuart Grobman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mitchell Stuart Grobman is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Mitchell Stuart Grobman receive its 1073556056 assignment from the Centers for Medicare & Medicaid Services?
The Mitchell Stuart Grobman was assigned its 1073556056 by the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the information regarding Mitchell Stuart Grobman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mitchell Stuart Grobman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-03-09.