# GROVE INTERNAL MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386650786
- **Authorized official:** DR. DAVID KANAREK MD (PRESIDENT)
- **Authorized official phone:** (847) 634-2090

## Contact information

- **Practice address:** RFD 4160, SUITE 304, LONG GROVE, IL 60047-9838
- **Practice address phone:** (847) 634-2090
- **Mailing address:** RFD 4160, SUITE 304, LONG GROVE, IL 60047-9838
- **Mailing address phone:** (847) 634-2090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 07/21/2022