Groskopf, Lisa A
Groskopf, Lisa A is an individual health care provider with primary practice located at 1508 Aurora Ave , Naperville IL 60540-6210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Groskopf, Lisa A can be contacted via phone (630) 585-7100.Contact Information
Primary practice address
1508 Aurora Ave
Naperville IL 60540-6210
Phone: (630) 585-7100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036-110669 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-110669 | Illinois |
Profile Details
NPI number | 1295753689 |
---|---|
LBN Legal business name | Groskopf, Lisa A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Apr 29th, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295753689 | NPPES |
Illinois | MEDICAID | 036110669 |
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