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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB G GROSELAK, DMD

Active Sole Proprietor

JACOB G GROSELAK, DMD is a Dentist healthcare provider located in LEMONT, Illinois. NPI 1871136085 is currently active in the NPPES registry. Verify at CMS.

Dentist · LEMONT, IL

Registration Details

NPI Number
1871136085
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2019 (6.7884168856294 yrs)
Last Updated
Oct 21, 2019
License
019.032102 (IL)
Sole Proprietor
Yes

Practice Information

Address
15531 E 127TH ST
LEMONT, IL, 604398555
Browse IL providers · Browse ZIP 60439
Phone
6302576350
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LEMONT, IL

Name Credential NPI
DR. KATHLEEN WEGNER BARTO D.D.S. 1134135320
LAWRENCE A TOMAZIN JR. 1356413116
DR. KENNETH M STOFFEL 1477625242
MR. XHELO SKENDER SHUAIPAJ DDS 1427111665
DR. JOHN CONRAD MASTRUD D.D.S. 1366577652
DR. JENNIFER L. SPLITT-KRULL DDS 1972768935
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.