Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JARED MATTHEW GRZANICH, P.A.-C
ActiveMR. JARED MATTHEW GRZANICH, P.A.-C is a Physician Assistant healthcare provider located in CANTON, Illinois. NPI 1093984551 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CANTON, IL
Registration Details
- NPI Number
- 1093984551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2008 (18.470661903399 yrs)
- Last Updated
- Apr 13, 2021
- License
-
085003182 (IL)
Practice Information
- Address
-
180 S MAIN STCANTON, IL, 615202608Browse IL providers · Browse ZIP 61520
- Phone
- 3096470201
- Fax
- 3096496880
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CANTON, IL
| Name | Credential | NPI |
|---|---|---|
| ANTHONY J SCARDINA | PA-C | 1508810771 |
| ERIN P. O'BRIEN | PA | 1881730331 |
| ANDREW R BRYANT | PA-C | 1750753455 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.