Individual
DR. JEFFREY ALLEN GRINBLATT
Active
Individual
DR. JEFFREY ALLEN GRINBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036081091
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031603918
BLUE CROSS BLUE SHIELD
IL
05
—
036081091
—
IL
Enumeration date
08/01/2006
Last updated
07/08/2007
Update your record
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