Grossman, Stephen Alfred

Grossman, Stephen Alfred is an sole proprietor health care provider with primary practice located at 1425 N Randall Rd , Elgin IL 60123-2300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Grossman, Stephen Alfred can be contacted via phone (224) 783-8767.

Contact Information

Primary practice address
1425 N Randall Rd Elgin IL 60123-2300
Phone: (224) 783-8767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 036078686 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036078686 Illinois
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 036078686 Illinois

Profile Details

NPI number 1851353395
LBN Legal business name Grossman, Stephen Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Dec 10th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851353395 NPPES
Illinois MEDICAID 036078686

Popular Providers