Individual
DR. JOHN GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE., DEPARTMENT OF PATHOLOGY, EVANSTON, IL 60201-1718
(847) 570-2730
Mailing address
206 GARFIELD AVE, LIBERTYVILLE, IL 60048-2756
(847) 573-1977
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036126085
IL
Other
Enumeration date
06/04/2007
Last updated
05/23/2019
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