Individual
NEIL STUART AGRUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 N. WINFIELD RD, STE. 300, WINFIELD, IL 60190
(630) 933-8100
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036039192
IL
207RI0011X
Interventional Cardiology Physician
036039192
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036039192
—
IL
01
—
060030946
RR MEDICARE
IL
Enumeration date
12/29/2005
Last updated
01/20/2011
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