Individual
DR. JEFFREY W GROSSKOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3805 E. MAIN STREET, SUITE G, ST CHARLES, IL 60174
(630) 402-2128
(630) 397-7814
Mailing address
3805 E. MAIN STREET, SUITE G, ST CHARLES, IL 60174
(630) 402-2128
(630) 397-7814
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036066604
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200007877
RAILROAD MEDICARE
—
01
—
CF2064
RAIL GROUP
IL
Enumeration date
01/17/2006
Last updated
04/10/2017
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