Michael Todd Grendon in Chicago - Internal Medicine
Michael Todd Grendon - NPI 1922007962
Michael Todd Grendon is a Internal Medicine in Chicago, Illinois. Michael Todd Grendon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Michael Todd Grendon is 1922007962. The last update date is 2022-06-13.
Michael Todd Grendon's current location address is 2800 N Sheridan Rd, Chicago, Illinois. You can contact this provider via phone number 7734725803 and fax number 7734727902. The mailing address for Michael Todd Grendon is 2800 N Sheridan Rd, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Todd Grendon |
|---|---|
| Address | 2800 N Sheridan Rd, Chicago, Illinois |
| Phone Number | 7734725803 |
| Fax Number | 7734727902 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922007962 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2022-06-13 |
Provider Mailing Address Detail
| Address | 2800 N Sheridan Rd |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606576156 |
| Phone Number | 7734725803 |
| Fax Number | 7734727902 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36061003 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36061003 | IL | -- |
Post Comment/ Review Below
What is the Michael Todd Grendon's unique identification number?
The Michael Todd Grendon has been assigned the NPI (National Provider Identifier) Number 1922007962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Michael Todd Grendon is physically located?
The Michael Todd Grendon is physically situated at the following address: 2800 N Sheridan Rd, Chicago, IL, 606576156.
What is the Michael Todd Grendon's specialty and taxonomy code?
The Michael Todd Grendon's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922007962 to Michael Todd Grendon?
The Centers for Medicare & Medicaid Services originally issued the 1922007962 to Michael Todd Grendon on 2005-07-20.
When was the information related to Michael Todd Grendon most recently updated or refreshed?
The details pertaining to the Michael Todd Grendon, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-06-13.
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