Individual
MARK A. GRUMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
666 DUNDEE RD, SUITE 307, NORTHBROOK, IL 60062-2727
(847) 897-8888
Mailing address
666 DUNDEE RD, SUITE 307, NORTHBROOK, IL 60062-2727
(847) 897-8888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009467
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01628196
BCBSIL
IL
Enumeration date
03/15/2006
Last updated
06/05/2008
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