Organization
DENNIS A GROLLO MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ANN GROLLO (BUSINESS MANAGER)
(847) 362-2311
Entity
Organization
Contact information
Practice address
535 W PARK AVE, LIBERTYVILLE, IL 60048-2670
(847) 362-2311
(847) 362-2369
Mailing address
535 W PARK AVE, LIBERTYVILLE, IL 60048-2670
(847) 362-2311
(847) 362-2369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036057324
IL
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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