Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN R GROLL, M.D.
ActiveDR. JOHN R GROLL, M.D. is a Cardiovascular Disease healthcare provider located in CHESTER, Illinois. NPI 1396716163 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · CHESTER, IL
Registration Details
- NPI Number
- 1396716163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.5680974028 yrs)
- Last Updated
- Jul 20, 2023
- Licenses
-
R8J11 (MO)036-094904 (IL)
Practice Information
- Address
-
1900 STATE STCHESTER, IL, 622331116Browse IL providers · Browse ZIP 62233
- Phone
- 6188264581
- Fax
- 3188265152
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
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.