Individual
DAVID GROESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
4000 WESTGATE DR, SPRINGFIELD, IL 62711-7066
(217) 726-6101
(217) 546-4659
Mailing address
4000 WESTGATE DR, SPRINGFIELD, IL 62711-7066
(217) 726-6101
(217) 546-4659
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000273
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7313366
AETNA INS. PROV. NO.
IL
01
—
8422416
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/27/2006
Last updated
10/21/2016
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