Hallock, Grant Connell

Hallock, Grant Connell is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Hallock, Grant Connell can be contacted via phone (847) 723-2210.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Fax: (847) 723-6987
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036.166239 Illinois

Profile Details

NPI number 1225666357
LBN Legal business name Hallock, Grant Connell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Mar 28th, 2024 - 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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