Individual
JOHN SCOTT GROCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 MADISON, ST JOSEPH MEDICAL CENTER, JOLIET, IL 60435-8233
(815) 741-7200
(815) 741-7591
Mailing address
728 STUART CT, ELMHURST, IL 60126-4629
(630) 832-5326
(815) 741-7591
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36073266
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36073266
—
IL
Enumeration date
01/09/2007
Last updated
07/08/2007
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