# ANTHONY M GRIMALDI, DO PC

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

## Provider details

- **NPI number:** 1982755997
- **Authorized official:** DR. ANTHONY M GRIMALDI DO (OWNER)
- **Authorized official phone:** (708) 642-0619

## Contact information

- **Practice address:** 840 RICHARD RD, DYER, IN 46311-1993
- **Practice address phone:** (219) 322-1450
- **Practice address fax:** (219) 322-8260
- **Mailing address:** PO BOX 286, LOCKPORT, IL 60441-0286
- **Mailing address phone:** (815) 726-8349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | IL | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020