Individual
DR. MITCHELL FRANK GRASSESCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 622-5400
(773) 622-5838
Mailing address
PO BOX 8500, LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036047895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360478951
—
IL
01
—
21608613
BLUE SHIELD
IL
Enumeration date
03/07/2006
Last updated
04/10/2017
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