Individual
DR. JOHN R GROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 STATE ST, CHESTER, IL 62233-1116
(618) 826-4581
(318) 826-5152
Mailing address
1028 S KIRKWOOD RD STE A, KIRKWOOD, MO 63122-7222
(314) 441-5609
(314) 288-0519
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
R8J11
MO
207RC0000X
Cardiovascular Disease Physician
Primary
036-094904
IL
Other
Enumeration date
01/30/2006
Last updated
07/20/2023
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