Organization
GRABOWSKI SURGICAL ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN T GRABOWSKI MD (OWNER)
(847) 439-7515
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 3004, ELK GROVE VILLAGE, IL 60007-3311
(847) 439-7515
(847) 439-7523
Mailing address
800 BIESTERFIELD RD, SUITE 3004, ELK GROVE VILLAGE, IL 60007-3311
(847) 439-7515
(847) 439-7523
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-073619
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
036-092227
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21600403
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/31/2007
Last updated
10/01/2010
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