Individual
DR. SEAN GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 1010, CHICAGO, IL 60612-3841
(312) 226-2371
(312) 942-1783
Mailing address
1725 W HARRISON ST STE 1010, CHICAGO, IL 60612-3841
(312) 226-2371
(312) 942-1783
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-118109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118109
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147245
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
P01258079
MEDICARE RAILROAD (INDIVIDUAL)
IL
Enumeration date
05/16/2007
Last updated
09/15/2021
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