Grossman, Michael Samuel

Grossman, Michael Samuel is an sole proprietor health care provider with primary practice located at 4505 N Rockwood Dr , Peoria IL 61615-3803. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Grossman, Michael Samuel can be contacted via phone (309) 589-1880.

Contact Information

Primary practice address
4505 N Rockwood Dr Peoria IL 61615-3803
Phone: (309) 589-1880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 29207 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 202629 Louisiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036128242 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036128242 Illinois

Profile Details

NPI number 1215016662
LBN Legal business name Grossman, Michael Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jun 6th, 2023 - about last year

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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