Individual
STEVEN ANTHONY GROENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N WALL ST STE B410, KANKAKEE, IL 60901-2940
(815) 933-2221
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(785) 827-7261
(785) 827-6334
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2015-00677
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407175318
—
NC
Enumeration date
05/18/2010
Last updated
09/22/2022
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