Grindstaff, Paul Leonard

Grindstaff, Paul Leonard is an individual health care provider with primary practice located at 750 East Terra Cotta Ave Suite A, Crystal Lake IL 60014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Grindstaff, Paul Leonard can be contacted via phone (815) 455-1800.

Contact Information

Primary practice address
750 East Terra Cotta Ave Suite A Crystal Lake IL 60014
Phone: (815) 455-1800
Fax: (815) 455-1875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 336071769 Illinois

Profile Details

NPI number 1811948854
LBN Legal business name Grindstaff, Paul Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Oct 19th, 2018 - about 6 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 1811948854 NPPES
Illinois MEDICAID 336071769
Illinois Other 036110902

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