Individual
ZORAN MILAN GRUJIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-086293
IL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
036086293
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086293
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
—
01
—
2061470463
MEDICARE PTAN (INDIVIDUAL)
—
01
—
CA4748
MEDICARE RAILROAD (GROUP)
—
01
—
P00904917
MEDICARE RAILROAD (GROUP)
—
Enumeration date
12/08/2006
Last updated
04/03/2013
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