Individual
DR. JAIME GRUTZENDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 E CHICAGO AVE, WARD # 10-132, CHICAGO, IL 60611-3093
(312) 503-5298
(312) 503-0872
Mailing address
303 EAST CHICAGO AVE, WARD # 10-132, CHICAGO, IL 60611
(312) 503-5298
(312) 503-0872
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
IL
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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