Shannon Marie Groves in Joliet - Physician Assistant
Shannon Marie Groves - NPI 1013106707
Shannon Marie Groves is a Physician Assistant in Joliet, Illinois. Shannon Marie Groves practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon Marie Groves is 1013106707. The last update date is 2016-08-03.
Shannon Marie Groves's current location address is 2202 Essington Rd, Joliet, Illinois. You can contact this provider via phone number 8156765310 and fax number 8157251321. The mailing address for Shannon Marie Groves is 2202 Essington Rd, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Marie Groves |
|---|---|
| Address | 2202 Essington Rd, Joliet, Illinois |
| Phone Number | 8156765310 |
| Fax Number | 8157251321 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1013106707 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2016-08-03 |
Provider Mailing Address Detail
| Address | 2202 Essington Rd |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604352426 |
| Phone Number | 8156765310 |
| Fax Number | 8157251321 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8500306 |
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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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What is the unique 10-digit identifier code issued to Shannon Marie Groves by the Centers for Medicare & Medicaid Services?
The Shannon Marie Groves has been assigned the NPI (National Provider Identifier) 1013106707 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shannon Marie Groves's facilities are geographically located?
The facilities of Shannon Marie Groves are physically situated at the following location: 2202 Essington Rd, Joliet, IL, 604352426.
What is the Shannon Marie Groves's area of specialization and corresponding taxonomy classification?
The Shannon Marie Groves's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013106707 to Shannon Marie Groves?
The Centers for Medicare & Medicaid Services originally issued the 1013106707 to Shannon Marie Groves on 2007-10-17.
When was the information regarding Shannon Marie Groves, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannon Marie Groves, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-08-03.
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