Organization
MATERNAL FETAL MEDICINE CONSULTANTS OF IL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD GRUNDY MD (DOCTOR)
(708) 364-7380
Entity
Organization
Contact information
Practice address
16533 106TH CT, ORLAND PARK, IL 60467-4545
(708) 364-7380
(708) 364-7382
Mailing address
PO BOX 566, TINLEY PARK, IL 60477-0566
(708) 429-4821
(708) 364-7382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036051830
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS
01622294
IL
Enumeration date
09/22/2006
Last updated
04/15/2014
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