Individual
NICHOLAS STEPHEN GROCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
2525 S MICHIGAN AVE, SUITE 250, CHICAGO, IL 60616-2333
(312) 567-2985
Mailing address
2933 N SHERIDAN RD, APT 801, CHICAGO, IL 60657-5965
(630) 202-2456
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005112
IL
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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