# GRASSI RETINA MD SC

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

## Provider details

- **NPI number:** 1598121113
- **Authorized official:** DR. MICHAEL A GRASSI M.D. (OWNER)
- **Authorized official phone:** (630) 995-3465

## Contact information

- **Practice address:** 1012 95TH ST, SUITE 9, NAPERVILLE, IL 60564-5041
- **Practice address phone:** (630) 995-3465
- **Mailing address:** 1012 95TH ST, SUITE 9, NAPERVILLE, IL 60564-5041
- **Mailing address phone:** (630) 995-3465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | 036115845 | IL | Yes |

## Other

- **Enumeration date:** 01/12/2016
- **Last updated:** 07/11/2017