Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN JOHN GRUD, DDS, MS
Active Sole ProprietorDR. STEPHEN JOHN GRUD, DDS, MS is a Orthodontics healthcare provider located in BERWYN, Illinois. NPI 1235262031 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BERWYN, IL
Registration Details
- NPI Number
- 1235262031
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.386410080013 yrs)
- Last Updated
- Jul 8, 2007
- License
-
21-001679 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6900 CERMAK RDBERWYN, IL, 604022244Browse IL providers · Browse ZIP 60402
- Phone
- 7084847453
- Fax
- 7084847574
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in BERWYN, IL
| Name | Credential | NPI |
|---|---|---|
| EJAZ U TAHIR | DDS, MS | 1396830808 |
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.