Individual
GRANT MITCHELL SPRINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036139888
IL
207R00000X
Internal Medicine Physician
35.122544
OH
208M00000X
Hospitalist Physician
Primary
35.122544
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036139888
—
IL
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400292535
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
01/06/2012
Last updated
03/17/2018
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