Organization
GRASSI RETINA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A GRASSI M.D. (OWNER)
(630) 995-3465
Entity
Organization
Contact information
Practice address
1012 95TH ST, SUITE 9, NAPERVILLE, IL 60564-5041
(630) 995-3465
Mailing address
1012 95TH ST, SUITE 9, NAPERVILLE, IL 60564-5041
(630) 995-3465
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036115845
IL
Other
Enumeration date
01/12/2016
Last updated
07/11/2017
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