Individual
DR. SAMUEL ANTHONY GRAMPSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST FL 5, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7305
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2486
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036104697
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104697
—
IL
01
—
070519
HEALTH ALLIANCE
IL
01
—
340019436
RAILROAD MEDICARE
IL
01
—
364121826 07
JOHN DEERE
IL
Enumeration date
02/13/2006
Last updated
07/29/2024
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