Individual
JAMES A. GROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
147 LASHMETT LN, PITTSFIELD, IL 62363-9576
(217) 285-6097
Mailing address
147 LASHMETT LN, PITTSFIELD, IL 62363-9576
(217) 285-6097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036055703
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055703
—
IL
Enumeration date
02/09/2006
Last updated
02/04/2011
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