Organization
HOME BASE MEDICAL, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN DAVID GRUMET MD (OWNER)
(847) 942-5214
Entity
Organization
Contact information
Practice address
666 DUNDEE RD, SUITE 307, NORTHBROOK, IL 60062-2727
(847) 231-2273
Mailing address
666 DUNDEE RD, SUITE 307, NORTHBROOK, IL 60062-2727
(847) 231-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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