Penny Grillos in Buffalo Grove - Physician Assistant
Penny Grillos - NPI 1023275294
Penny Grillos is a Physician Assistant in Buffalo Grove, Illinois. Penny Grillos practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Penny Grillos is 1023275294. The last update date is 2014-05-21.
Penny Grillos's current location address is 600 W Lake Cook Rd, Buffalo Grove, Illinois. You can contact this provider via phone number 8478088884. The mailing address for Penny Grillos is 600 W Lake Cook Rd, Buffalo Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny Grillos |
|---|---|
| Address | 600 W Lake Cook Rd, Buffalo Grove, Illinois |
| Phone Number | 8478088884 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1023275294 |
|---|---|
| Provider Enumeration Date | 2008-05-16 |
| Last Updated Date | 2014-05-21 |
Provider Mailing Address Detail
| Address | 600 W Lake Cook Rd |
|---|---|
| City | Buffalo Grove |
| State | Illinois (IL) |
| Post Code | 600892089 |
| Phone Number | 8478088884 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-000522 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 085-000522 | IL | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Penny Grillos?
The Penny Grillos has been issued the NPI (National Provider Identifier) 1023275294 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Penny Grillos is physically located?
The Penny Grillos is situated at the following address: 600 W Lake Cook Rd, Buffalo Grove, IL 600892089.
What is Penny Grillos's specialized field of practice, and what is the corresponding taxonomy classification code?
The Penny Grillos's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did Penny Grillos receive its 1023275294 assignment?
The Penny Grillos was assigned its 1023275294 on 2008-05-16, which is the date when this unique identifier was issued to the organization.
As of what date were the Penny Grillos's details last updated?
The information pertaining to the Penny Grillos, including its address, specialty, and other details, was most recently updated on 2014-05-21.
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