# DR. MICHAEL H. GROUSD DDS MA LTD

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

## Provider details

- **NPI number:** 1972656890
- **Authorized official:** LINDA L MCMANAMON (MANAGER)
- **Authorized official phone:** (847) 367-4190

## Contact information

- **Practice address:** 1 E PHILLIP RD, SUITE 101, VERNON HILLS, IL 60061-1858
- **Practice address phone:** (847) 367-4190
- **Practice address fax:** (847) 367-5010
- **Mailing address:** 1 E PHILLIP RD, SUITE 101, VERNON HILLS, IL 60061-1858
- **Mailing address phone:** (847) 367-4190
- **Mailing address fax:** (847) 367-5010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | IL | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 12/07/2007