Grimm, Sean

Grimm, Sean is an individual health care provider with primary practice located at 1725 W Harrison St Ste 1010 , Chicago IL 60612-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Grimm, Sean can be contacted via phone (312) 226-2371.

Contact Information

Primary practice address
1725 W Harrison St Ste 1010 Chicago IL 60612-3841
Phone: (312) 226-2371
Fax: (312) 942-1783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-118109 Illinois

Profile Details

NPI number 1235346941
LBN Legal business name Grimm, Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Sep 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235346941 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other P01258079 MEDICARE PTAN (GROUP)
Illinois Other 206147245 MEDICARE PTAN (GROUP)
Illinois MEDICAID 036118109 MEDICARE PTAN (GROUP)
Illinois Other CA4748 MEDICARE PTAN (GROUP)

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