Dennis a Grollo Mdsc
NPI #1487910220 in Libertyville, Illinois
Provider Information
- NPI Number
- 1487910220
- Entity Type
- Organization
- Organization Name
- Dennis a Grollo Mdsc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 5, 2012
- Last Updated
- Apr 5, 2012
Practice Location
- Address
- 535 W PARK AVE
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048-2670
- Phone
- (847) 362-2311
Authorized Official
- Name
- MRS. BARBARA ANN GROLLO
- Title
- BUSINESS MANAGER
- Phone
- (847) 362-2311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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