Individual
DR. M. WARNER GROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
845 N LAKE ST STE 1, AURORA, IL 60506-3178
(630) 844-1244
(630) 844-1199
Mailing address
1460 WILMETTE ST, WHEATON, IL 60187-3712
(630) 665-4177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710986179
CLINIC NPI
IL
01
—
4515209
BCBS OF IL
IL
Enumeration date
05/17/2007
Last updated
07/08/2007
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