Groene, Steven Anthony

Groene, Steven Anthony is an individual health care provider with primary practice located at 400 N Wall St Ste B410 , Kankakee IL 60901-2940. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Groene, Steven Anthony can be contacted via phone (815) 933-2221.

Contact Information

Primary practice address
400 N Wall St Ste B410 Kankakee IL 60901-2940
Phone: (815) 933-2221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 2015-00677 North Carolina

Profile Details

NPI number 1407175318
LBN Legal business name Groene, Steven Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2010
Last updated Sep 22nd, 2022 - about 2 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 1407175318 NPPES
North Carolina MEDICAID 1407175318

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