Organization
A TO Z OF HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY EUGENE CROVETTI M.D. (PRESIDENT/CEO)
(708) 502-3433
Entity
Organization
Contact information
Practice address
767 PARK AVE W, STE 130, HIGHLAND PARK, IL 60035-2400
(847) 433-1501
Mailing address
1729 N 77TH CT, ELMWOOD PARK, IL 60707-4111
(708) 502-3433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036096721
IL
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
036096721
IL
208VP0000X
Pain Medicine Physician
036096721
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360967212
—
IL
01
—
L97910
MEDICARE ID-TYPE UNSPECIF
IL
Enumeration date
01/15/2008
Last updated
02/08/2008
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