DR. MICHAEL H. GROUSD DDS MA LTD (NPI# 1972656890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972656890 |
| Entity Type | Organization |
| Organization Name | DR. MICHAEL H. GROUSD DDS MA LTD |
| Practice Address |
1 E Phillip Rd Suite 101 Vernon Hills IL 60061-1858 |
| Practice Telephone | 8473674190 |
| Practice Fax Number | 8473675010 |
| Mailing Telephone | 8473674190 |
| Mailing Fax Number | 8473675010 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | LINDA L MCMANAMON (MANAGER) |
| Authorized Official Telephone | 8473674190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | IL | Dental Providers | |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 80022385 | 01 |
| Street Address |
1 E PHILLIP RD SUITE 101 |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683076 | Maria Romana Roman | Dentist | 1 E Phillip Rd, Suite 101, Vernon Hills, IL 60061-1858 | 2005-10-19 |
| 1124257571 | John Brunetti, Dmd, Ltd. | Clinic/Center | 1 E Phillip Rd, Suite 101, Vernon Hills, IL 60061-1858 | 2009-07-07 |
| 1982742938 | John Brunetti | Dentist | 1 E Phillip Rd, Suite 101, Vernon Hills, IL 60061-1858 | 2007-02-02 |
| 1518033828 | Richard Mark Port | Dentist | 1 E Phillip Rd, Suite 102, Vernon Hills, IL 60061-1858 | 2006-11-28 |
| 1194897405 | Gary Todd Klein | Dentist | 1 E Phillip Rd, Vernon Hills, IL 60061-1858 | 2006-11-14 |
| 1710091574 | Affiliated Dental Specialists Ltd | Dentist | 1 E Phillip Rd, Vernon Hills, IL 60061-1858 | 2006-08-18 |
| 1871607002 | James William Orbon | Dentist | 1 E Phillip Rd, Vernon Hills, IL 60061-1858 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982742938 | John Brunetti | Dentist | 1 E Phillip Rd, Suite 101, Vernon Hills, IL 60061-1858 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
| 1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
| 1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
| 1093232951 | Robert C. Bosack, Dds & Associates, Ltd | Dentist | 16011 108th Ave Ste A, Orland Park, IL 60467-8787 | 2017-08-23 |
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1770962375 | Eunsu Jung | Dentist | 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 | 2015-05-28 |
| 1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
| 1043607872 | Alissa Nicole Pullos | Dentist | 105 E 1st St Ste 103, Hinsdale, IL 60521 | 2015-04-20 |
| 1538592654 | Matthew Seena Hamedani | Dentist | 3116 Oak Park Ave, Berwyn, IL 60402 | 2013-08-13 |
| 1578907689 | M Timothy Murphy | Dentist | 500 Davis St Ste 509, Evanston, IL 60201-4621 | 2013-04-18 |
| Find all providers with the same taxonomy | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.